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原位肝移植术后并发症的诊治(附7例报告)
引用本文:陈焕伟,甄作均,苏树英,许卓明,计勇. 原位肝移植术后并发症的诊治(附7例报告)[J]. 中国普通外科杂志, 2001, 10(2): 146-148
作者姓名:陈焕伟  甄作均  苏树英  许卓明  计勇
作者单位:广东省佛山市第一人民医院肝胆外科,
基金项目:广东省医学科研基金项目(A2000729)
摘    要:目的:探讨原位肝移植术后并发症的诊断与治疗,方法:回顾性分析7例原位肝移植病人术后并发症的诊治情况,结果:本组术后并发症包括:颅内出血(1/7),肾功能衰竭(1/7),腹腔内出血(2/7),肺感染,胸腔积液(5/7),ARDS(1/7),高胆红素血症(5/7),急性排斥反应(1/7)等,存活5例,死亡2例,结论:合理的防治措施能有效减少肝移植术后并发症的发生,对肝移植术后并发症的及时诊断和正确处理是提高肝移植成功率的关系。

关 键 词:肝移植 副作用 高胆红素血症 病因学 胸腔积液
文章编号:1005-6947(2001)02-0146-03
修稿时间:2001-02-05

Diagnosis and treatment of post-orthotopic liver transplantation complications (a report of 7 cases)
CHEN Huan-wei,ZHEN Zuo-jun,SU Shu-ying,XU Zhou-ming,Ji Yong. Diagnosis and treatment of post-orthotopic liver transplantation complications (a report of 7 cases)[J]. Chinese Journal of General Surgery, 2001, 10(2): 146-148
Authors:CHEN Huan-wei  ZHEN Zuo-jun  SU Shu-ying  XU Zhou-ming  Ji Yong
Abstract:Objective To investigate the experience of diagnonsis and treatment of post-orthotopic liver transplantation (OLT) complications. Methods The clinical data of diagnosis and treatment of post-OLT complications in 7 cases were analysed retropectively. Results Complications following OLT including intracranial hemorrhage (1/7), renal failure (1/7), intrabdominal hemorrhage (2/7), pulmonary infection and/or, pleurorrhea (5/7), adult respiratory distress syndrome (1/7), billirubinemia (5/7). Five patients survived while two died. Conclusions Proper prevention and management can effectively reduce post-OLT complications, Timely diagnosis and suitable therapy would improve the result of liver transplantation.
Keywords:LIVER TRASPLANTATION/adv eff   HYPERBILIRUBINEMIA/etiol   PLEURAL EFFUSION/etiol
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