目的探讨成人受者接受儿童心脏死亡器官捐献(DCD)供肝的受者选择标准、手术方式、常见并发症及处理方法。方法回顾性分析2011年我院完成的1例成人受者接受儿童DCD供肝移植病例的临床资料并进行文献复习。结果供者为6岁女性溺水儿童,心脏死亡后捐献肝脏,供肝重量598 g,热缺血时间10 min。受者体重55 kg,移植物受者体重比为1.09%,移植物体积/受者估计标准肝体积为61.8%。手术采用经典非转流术式,术后患者肝功能恢复顺利,术后第14天CT显示移植肝动、静脉未见异常,移植肝体积增至1 003 cm3,于术后45 d出院。术后3个月随访患者肝功能正常。结论儿童DCD供肝可以成功地应用于成人受者,但需要根据供肝情况选择合适的受者及手术方式。 Objective To investigate the selection criteria, operation methods, common complications and treatment methods for recipients of donor liver donation (DCD) in adult recipients. Methods The clinical data of 1 DCD donor liver transplant recipients completed in our hospital from 2011 to 2011 were analyzed retrospectively. Results The donor was a 6-year-old woman who drowned. He died after cardiac death and donated liver weight of 598 g and warm ischemia time of 10 min. The recipient weighed 55 kg, the graft recipient weight ratio was 1.09%, and the graft volume / recipient estimated the standard liver volume to be 61.8%. The operation was performed by classic non-shunt operation, and the postoperative recovery of liver function was successful. On the 14th day after operation, CT showed no abnormalities of transplanted liver and vein. The volume of the transplanted liver increased to 1 003 cm3 and was discharged at 45 days after operation. After 3 months follow-up of patients with normal liver function. Conclusion Child donor DCD can be successfully applied to adult recipients. However, it is necessary to select appropriate recipients and surgical methods according to the donor liver.