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肝移植术后急性重症胰腺炎
引用本文:刘洪,叶启发. 肝移植术后急性重症胰腺炎[J]. 中国现代医学杂志, 2005, 15(1): 101-102
作者姓名:刘洪  叶启发
作者单位:1. 武汉华中科技大学同济医院,湖北,武汉,430030
2. 中南大学湘雅三医院湘雅移植医学研究院,湖南,长沙,410013
摘    要:目的探讨肝移植术后急性重症胰腺炎的病因、预防和治疗。方法2000-2003年施行了180例背驮式原住肝移植术,其中8例肝肾联合移植。术后均采用FK506(普乐可复),cellcept(骁悉)和强的松3联免疫抑制疗法。结果2例术后3周内急性重症胰腺炎死亡。结论肝移植术后急性重症胰腺炎原因多而复杂,而该组与感染密切,早期预防、诊断和治疗是降低发生率和死亡率的关键。

关 键 词:肝 移植 急性重症胰腺炎
文章编号:1005-8982(2005)01-0101-02

Acute serious pancreatitis after liver transplantatlon
LIU Hong,YE Qi-fa. Acute serious pancreatitis after liver transplantatlon[J]. China Journal of Modern Medicine, 2005, 15(1): 101-102
Authors:LIU Hong  YE Qi-fa
Affiliation:LIU Hong1,YE Qi-fa2
Abstract:To prevent and treat acute serious pancreatitis after liver transplantation. From 2000 to 2003, 180 piggyback liver transplantations including 8 liver-kidney transplantation were performed. Baseline immunosuppression consisted of Fk 506, cellcept, and methylprednisolone. Three weeks after transplantation, two patients died of serious acute pancreatitis. [Conclusion] Serious acute pancreatitis after liver transplantation is closely associated with infection. Early diagnosis and treatment will be the key to decrease the occurrence and the death rate.
Keywords:liver  transplantation  serious acute pancreatitis
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