广泛肝创伤的手术或肝肿瘤广泛切除时常需完全阻断肝脏血流。肝移植时不可避免地伴有完全缺血阶段。出血性休克、严重创伤后以及晚期脓毒症也常有肝脏循环减少。治疗某些肝肿瘤、肝脏血管性病灶或损伤有时需结扎肝动脉,从而减少全部肝血流。在肝缺血时及其以后,细胞能量水平迅速下降,并有各种结构和代谢紊乱。本文介绍了防治肝缺血措施的近代概念。 Extensive resection of liver injury surgery or liver tumor often need to completely block the liver blood flow. Inevitably accompanied by complete ischemia during liver transplantation stage. Hemorrhagic shock, severe trauma, and advanced sepsis often have reduced liver circulation. Treatment of certain liver tumors, liver vascular lesions or injuries sometimes need to ligation of the hepatic artery, thereby reducing the total hepatic blood flow. At and after hepatic ischemia, cellular energy levels decline rapidly and have various structural and metabolic disorders. This article describes the modern concepts of prevention and treatment of hepatic ischemia.