TRANSPLANTATION——Liver

Auxiliary partial orthotopic liver transplanta. tion for acute hepatic failure： establishment of a new model; Hepatic artery pseudoaneurysm after orthotopic liver transplantation： report of 4 cases;Detection of HBV reinfection post-transplantion in liver transplant recipients with HBV hepatitis; Parameters monitoring of mechanics of respiration during perioperative period in patients undergoing orthotopic liver transplantation; Application of simulect in liver transplantation patients;     

TRANSPLANTATION——Liver

Relationship between intra-abdominal hypertension and acute renal failure after liver transplantation; Liver transplantation in the presence of portal vein thrombosis： report of 21 cases;Application of MR imaging in the diagnosis of complications following liver transplantation;Blood-conservation techniques during ortho. topic liver transplantation; Effect of regulative CD4 T-cell on spontaneous immune tolerance of liver transplantation in rats; Acute rejection after orthotopic liver transplantation in recipients with hepatitis B related liver diseases;Observation on three dimensional reconstruction of peribiliary blood plexus in rat＇ s hepatohilar bile duct after losing liver artery supply entirely;     

TRANSPLANTATION —— Liver

Surgical techniques of hepatic artery reconstitution in orthotopic liver transplantation, Impact of core hypothermia during reperfusion on acute pulmonary edema after liver transplantation in patients with chrome severe hepatitis,Risk factors for development of early acute renal failure after liver transplantation in patients with normal renal function     

TRANSPLANTATION ——Liver

The management of lamivudine resistance in immunocompromised chronic hepatitis B liver transplantation recipient under immunosuppressant therapy,Management of hepatic HBV reinfection after liver transplantation,Prophylaxis and treatment of acute renal failure following orthotopic liver transplantation,Long-term effect of orthotopic liver transplantation to patients with hepatic myelopathy, An initially clinical study of pneumocystis carinii pnemnonia during early stage after orthotopic liver transplantation[第一段]     

TRANSPLANTATION

8.1 Liver207535 Clinical experience of liver retransplantation in 14 patients/Fan Hua(樊华,Dept Hepatobil Surg,Beijing Chao Yang Hosp, Cap Univ Med Sci,Beijing Organ Transplant Center,Beijing 100020)…∥     

TRANSPLANTATION：Liver

Effect of progtaglandin E1 on renal blood flow and serum endothelin in early stage after liver transplantation;Diagnosis and treatment of biliary stricture after orthotopic liver transplantation; Clinical application of interventional therapy liver in orthotopic hepatic venous outflow obstruction following liver transplantation     

TRANSPLANTATION——Liver

Interventional therapy for biliary stricture after orthotopic liver transplantation, The relationship of indoleamine 2,3-dioxygenase gene expression and acute immume rejection after rat liver transplantation, Application of IL-15 mRNA determination in the early diagnosis and differential diagnosis of early acute rejection following fiver transplantation     

TRANSPLANTATION Liver

208373月Ieviation of抽由e而a-re详讨运ion坷Uryin rat llver dOll0花by如lduCtion of exq笋nouSU压卫T gene/ JinBin(靳斌，Liver Transplant袅nter，印u}IOSp，乳朋-由ng Univ，Jinan250012)…// QlillJHepatobdSUrg一2008，14(2)一112一114 0讨ective To dete~if the isch~     

TRANSPLANTATION Liver

206492Prevention and treatment of artery complica-tion after liver transplantation by HBO/Pan Shuyi(潘树义,Dept HBO,Navy Gener Hosp,Beijing 100037)…∥Chin J Organ Transplant .-2006 ,27 (6) .-359 ~360ObjectiveTo observe the effect of HBO in thetreatment of artery complications after liver transplanta-tion.MethodsFive cases were treat by HBO (202 .65kPa,once every day,oxygeninhalation60 min) and othertherapies after operation.ResultsAfter HBO,the whole-body situations were obviously…     

TRANSPLANTATION：Liver

Migration of dendritic cells in orthotopic rat liver transplantation;The protective effect of superoxide dismutase on non heart beating donor livers during ischemia and reperfusion in vitro; Management of portal vein organized thrombosis during liver transplantation; Diagnostic value of perforin, granzyme B and TIA-1 detection in acute rejection of liver allograft; Combined liver transplantation and radical resection for primary digestive tract malignancies and liver metastases.     

Liver retransplantation: a single-centre experience

Background The curative effect of liver transplantation for patients with end-stage liver disease was encouraging in recent years and the 5-year patient survival rate can reach up to 70%. However, some patients might lose grafts due to a variety of reasons, including bile duct complications, vascular complications, primary non-function, graft rejection and disease recurrence etc. Liver retransplantation （re-LT） was the only available means for those patients whose initial grafts had failed, but the inferior outcomes of re-LT compared to primary liver transplantation （PLT） continue to be a major concern. This study aimed to analyze the indications for re-LT, optimal timing of re-LT, and strategies to improve the survival rate after re-LT.
Methods From January 2001 to December 2006, we performed 738 liver transplants and 39 re-LT （5.3%） at our center. A retrospective analysis was performed to identify factors （indication for re-LT, preoperative score of model for end-stage liver disease （MELD）, interval to re-LT from primary liver transplantation, methods of vascular and biliary reconstruction and common causes of death） associated with survival.
Results Mean follow-up period was 1.8 years （1 to 5 years）. Patients with MELD score less than 20 were better than those whose MELD score was 〉20 and MELD score〉30 （1-year survival, 80.0% versus 50.0% and 3/5）. The perioperative survival rate of patients who received re-LT at an interval of more than 30 days and less than 8 days after the initial transplantation was higher than those who received retransplantation between 8 to 30 days following the first operation （88.5% and 74.3% versus 50.0%）. The main causes of death were infection （60.0%）, multiple organ failure （20.0%）, vascular complications （10.0%） and biliary fistula （10.0%） in perioperative period. The overall patient survival rate of 1-month, 6-month and 1-year was 80.0%, 76.7% and 66.7%, respectively.
Conclusions Our study suggested the favorable results aft     

GENERAL ASPECIS——Infection

Characteristics and management of fungal infection in severely burn patients; Burned infants combplicated with rotavirus diarrhea：an analysis diagnosis and therapy of of 12 cases;JOLLYCOME^TM irrigation on incision and wound surface： a clinical report; Secondary lung infection in oatients of postoperative cranio-cerebral trauma： a clinical study; Postoperative infections of CNS： a retrospective study;Nosocomial infection after intubating central vein in patients with liver transplantation compared to other operated patients： investigation and analysis;206158 Effect of silver sulfadiazine-impregnated hydrocolloid dressing on wound care of nail extraction;……     

THE MUTUAL BENEFIT ROLE OF LIVER AND PANCREAS IN COMBINED TRANSPLANTATION

The present study observed the mutual benefit role of liver and pancreas in combined hepaticopan-creatic transplantation in rats. The results indicated that pancreas, when transplanted with liver, could survive for a significant long time (13. 4±1.01 days) than it transplanted alone (9. 2±1.14 days) (P< 0. 05, t test). The interstitial rejection was mild and its rejection grade was significantly different from that of pancreas transplanted alone (P<0. 05, X2 test). The liver, when transplanted with pancreas, regenerated with strong competence and contact structure morphologically compared with liver transplanted alone. We think that pancreas could be immunologically protected against rejection and liver can be nutri-tionalized by pancreas in combined liver and pancreas transplantation.     

院内真菌感染149例分析

目的 探讨院内真菌感染尤其是深部真菌感染的临床表现,诊断及治疗方法。方法 对1981年12月至2001年11月间经微生物学检查证实的149例院内真菌感染患者的临床资料进行回顾性分析。结果 在149例院内真菌感染的病例中有134例为深部真菌感染,所有病例均有基础疾病,以原发肺部疾病（29例）,神经系统疾病（24例）,风湿性疾病（20例）以及血液病（18例）最多见。其感染的常见诱因有长期使用广谱抗生素（37例）或糖皮质激素（29例）及免疫抑制剂（17例）,化疗（10例）。气管切开或气管插管912例）;感染的部位依次为肺部,脑膜及脑实质,血液等;感染的病原菌仍以白念珠菌,热带假丝念珠菌,新型隐球菌,曲霉菌等为主,但一些少见的真菌如葡萄牙念珠菌,季也蒙念珠菌也在临床上分离出来;在临床上63.76%的病人有发热。白细胞增高者占39.6%;单纯用氟康唑,两性霉素B和伊曲康唑治疗者分别为74例。5例和16例,其余病例均采用联合治疗;治愈67例,好转29例。死亡44例（29.53%);近年真菌感染的发生率明显增高,1996-2001年共75例。占50.34%。结论 近年来真菌感染有逐年增加的趋势,这与长期大剂量广谱抗生素,大剂量糖皮质激素以及免疫抑制剂应用,化疗等密切相关。也与检测技术的提高有关;真菌感染的死亡率仍较高。非白念珠菌的感染逐渐增加。     

GENERAL ASPECTS——Infection

Nosocomial infection incidence rates in surgical cuts in a hospital： Distributions and secular trends;Early stage enteral nutrition for preventing postoperative pulmonary infection in patients with esophageal carcinoma： A clinical research;Prevention of postoperative fungai infection in hepatobiliary surgery;Intracranial bacterial infection controlled by intrathecal injection of drugs and its diagnosis and treatment; Pathogenic bacterium investigation of soft tissue injury combined with raw surface infection;Post-surgical infection of carcinoma of larynx： An investigative study;……     

GENERAL ASPECTS--Infection

Nosocomial infection in pancreas surgery： an investigation and analysis; Prevention and treatment of pulmonary infection after liver transplantation;Rational use of antibacterials and drug sensitivity analysis in neurosurgery; Risk factors of lower respiratory tract infection in neurosurgery ward patients with tracheotomy： a survey; Correlation factors of nosocomiai infection in patients after receiving craniocerebral operation……     

2003——-2007年我院医院感染病例分析

为了加强医院感染管理,提高医院感染监测水平,掌握住院患者医院感染的特点,以便制定预防和控制医院感染发生的有效措施,本文就我院2003年1月至2007年12月发生的487例医院感染患者的资料进行回顾性的分析,报告如下。1流行病学资料2003年1月至2007年12月我院共出院患者16040例,发     

Liver, biliary tract, pancreas, spleen

207577 Pathologic and molecular biologic characteris- tics of hilar cholangiocarcinomas/Li Chenggang(李成 刚,Inst Hepatobil Surg, Gener Hosp PLA, Beijing 100853)…∥Chin J Exp Surg.-2007 ,24(6) .-690 ~ 691 Objective Toinvestigate the pathologic and molec- ular biologic characteristics of hilar cholangiocarcinomas. Methods Sixty-eight patients with hilar cholangio- carcinomas were reviewed,and the pathologic types and incidence of perineural invasionandlymph node metastasis were summariz…     

GENERAL ASPECTS——Infection

The drug resistance of pathogenic bacteria of nosocomial infections in surgical intensive care unit,Therapeutic effects of early administration of low-dose heparin in patients with sdevere aepsis,Hospital iafections in patients after neck dissection and nursing intervention