受贈者之準備
1.依等候名單先選出適當病患。
2.一般實驗室資料:
a. CBC/D.C.+platelet
b. prothrombin time ,partial thromboplastin time(PT, aPTT)
c. 腎功能與電解質:BUNlcr; NA+/K+/Cl-;如有肝腎症候群,需有Ccr及24小時小便檢驗。
d. 肝功能:TP/alb; T/Dbil; GOT/GPT; α-GT; ALK-p; LDH; Chol; fasting NH3
e. 其他:Blood Sugar; Ca++;Mg++;amylase;uric acid
3.Hepatitis screen:Anti-HAVAb
HBsAg, HBeAb, HBeAg, HBV-DNA
Anti-HCV Ab, Anti-HBs Ab
delta Ag
4.CT of abdomen with liver volume estimation , Abdominal Sonography with doppler evaluation of hepatic vessels (esp. P.V. patency, HA)
5.如有肝臟血管問題時,應有celiac/SMA angiography及portography
6.EKG, CX, KUB; 如有心臟問題,應有echocardiography及ejection fraction
7.Pulmonary function tests
8.Blood typing
9.Virus Screen:
a. CMV IgM/IgG
b.EBV IgM/IgG
c. HSV IgM/IgG
d. HIV-I/II
10.urine culture; stool culture; stool ova & parasites (esp. Giardia &
Strongylloides);Stool OBxIII
11.備血:PRBC 20U(U=500c.c.);並通知血庫隨時取用。FFP20U Platelet20U
12.tissue typing & panel reactive antibody screen(非必要)
13.通知麻醉科訪視
14.通知社工與精神科訪視病人與家屬
15.通知手術室
16.通知加護病房與重症加護科醫師
17.通知藥局準備必須之藥品,如抗排斥藥,Solumedrol, heparin, papaverine, amphotericin-B
18.給予預防性手術前抗生素(Unasyn)並給予VitK1
19.Bowel prep with neomycin
20.取得手術同意書