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上腹部器官簇移植术后胰腺功能的监测
引用本文:马毅,何晓顺,朱晓峰,王东平,胡红星,钱世鹍,鞠卫强,巫林伟,詹文华. 上腹部器官簇移植术后胰腺功能的监测[J]. 中国普通外科杂志, 2005, 14(10): 17-774
作者姓名:马毅  何晓顺  朱晓峰  王东平  胡红星  钱世鹍  鞠卫强  巫林伟  詹文华
作者单位:中山大学附属第一医院,器官移植中心,广东,广州,510080
基金项目:卫生部临床学科重点项目(97040230);广东省自然科学基金项目(05300768).
摘    要:目的:探讨上腹部器官簇移植术后胰腺功能的监测方法。方法:分析我院5例上腹部器官簇移植成功的临床病例资料。结果:患者术后一般情况恢复良好,移植胰腺内、外分泌功能基本恢复正常,未发现有排斥反应。结论:围手术期通过动态监测患者血糖、C肽、血胰岛素和血尿淀粉酶、腹腔引流液淀粉酶以及十二指肠减压管引流液淀粉酶,并结合Doppler彩超检查,可以较好地了解移植胰腺的内、外分泌功能。

关 键 词:胰腺/病理生理学 腹部器官簇移植 胰腺功能试验
文章编号:1005-6947(2005)10-0772-03
收稿时间:2005-07-13
修稿时间:2005-09-14

Pancreatic function monitoring after upper abdominal cluster transplantation
MA Yi,HE Xiao shun,ZHU Xiao feng,WANG Dong ping,HU Hong xing,QIAN Shi kun,JU Wei qiang,WU Lin wei,ZHAN Wen hua. Pancreatic function monitoring after upper abdominal cluster transplantation[J]. Chinese Journal of General Surgery, 2005, 14(10): 17-774
Authors:MA Yi  HE Xiao shun  ZHU Xiao feng  WANG Dong ping  HU Hong xing  QIAN Shi kun  JU Wei qiang  WU Lin wei  ZHAN Wen hua
Affiliation:Transplantation Surgery, the First Affiliated Hospital, Sun Yat-sen University , Guangzhou 510080 , China
Abstract:Objectlve To explore the monitoring methods for pancreatic graft function after upper abdominal cluster transplantation. Methods Analysis of the clinical data of 5 cases of successful upper abdominal cluster transplantation in our center. Results The patients recovered well after the operation. Endocrine and exocrine functions of all the pancreas graft returned to normal without any rejection. Conclusions Dynamic monitoring of blood glucose, C-peptide, blood insulin, blood amylase, urine amylase, amylase in abdominal drainage and duodenal tube decompression drainage, in addition to Doppler color ultrasound examination, can effectively detect the endocrine and exocrine function of the pancreas graft.
Keywords:Pancreas/physiopathol    Abdominal Cluster Transplantation   Pancreatic Function Tests
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