| 血浆置换在肝移植围手术期的应用 |
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| 引用本文： | 彭志海,邢同海,裘国强,刘育健.血浆置换在肝移植围手术期的应用[J].透析与人工器官,2004,15(2):1-5. |
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| 作者姓名： | 彭志海 邢同海 裘国强 刘育健 |
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| 作者单位： | 上海市第一人民医院普通外科,上海市移植中心,上海,200800 |
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| 摘 要： | 目的：探讨人工肝支持系统在肝移植围手术期的应用效果。方法：采用人工肝支持系统治疗5例等待供肝患者，1例肝移植术后患者。5例等待供肝患者中3例成功过渡到肝移植。结果：人工肝支持后患者肝性脑病有所好转，血清胆红素明显下降。3例成功过渡到肝移植的患者中2例痊愈出院。已存活4～6个月。结论：术前使用人工肝支持系统能改善患者一般情况；原位肝移植加人工肝支持系统是治疗慢加急肝衰竭的有效方法。
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| 关 键 词： | 慢加急肝衰竭 肝移植 围手术期 血浆置换 人工肝支持系统 并发症 |
| 修稿时间： | 2003年8月30日 |
Perioperative Application of Artificial Liver Support System in Orthotopic Liver Transplantation |
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| PENG Zhi-hai,XING Tong-hai,QIU Guo-qiang,et al.Perioperative Application of Artificial Liver Support System in Orthotopic Liver Transplantation[J].Chinese Journal of Dialysis and Artificial Organs,2004,15(2):1-5. |
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| Authors: | PENG Zhi-hai XING Tong-hai QIU Guo-qiang |
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| Institution: | PENG Zhi-hai,XING Tong-hai,QIU Guo-qiang,et al Department of General Surgery,First People's Hospital,Shanghai 200080 |
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| Abstract: | Objective To investigate the application of artificial liver support system (ALSS) during the perioperation of orthotopic liver transplantation(OLT).Methods:We applied ALSS to treat 5 patients wating donor liver and one patient received OLT.3 patients successfully underwent OLT.Results:Improvement degree of encephalopath and reduction in serum bilirubin were achieved in all cases after ALSS.2 patients have had excellent quality of life for 4 to 6 months after OLT.Conclusions:ALSS treatment can improve general conditions of the patient before operation.OLT plus ALSS is one of the most effective therapies for acute-on-chronic failure patients. |
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| Keywords: | liver transplantation artificial liver severe hepatitis liver failure |
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