| 再次肝移植12例报告 |
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| 引用本文： | 史永照,王正昕,丁国善,倪之嘉,傅宏,李先兴,郭闻渊,傅志仁. 再次肝移植12例报告[J]. 肝胆外科杂志, 2005, 13(3): 205-207,211 |
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| 作者姓名： | 史永照 王正昕 丁国善 倪之嘉 傅宏 李先兴 郭闻渊 傅志仁 |
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| 作者单位： | 上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003;上海长征医院器官移植中心,上海,200003 |
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| 摘 要： | 目的总结再次肝移植的临床经验。方法回顾我所再次肝移植病人的临床资料，并结合文献进行讨论。结果12例患者接受了再次肝移植，再次肝移植率为4．17％，再次移植的原因分别为：3例肝动脉栓塞，9例胆道并发症，其中6例同时伴有慢性排异。术后8例恢复顺利出院，最长存活15个月，最短存活5个月；4例死亡。结论再次肝移植能有效挽救移植肝失功能患者的生命，手术指征的掌握，手术时机的选择，手术技巧的提高和围手术期的正确处理是指提高再次肝移植成功率的关键。
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| 关 键 词： | 肝移植 再次移植 |
| 文章编号： | 1006-4761(2005)03-0205-04 |
REPORT OF 12 CASES OF LIVER RETRANSPLANTION |
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| Affiliation: | (SHI Yong-zhao,WANG Zheng-xing,DING Guo-shan et al.SMMU.Organ Transplantation Institute of PLA,Department of Liver Transplantation.Chang Zheng Hospital,Shanghai,200001,China) |
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| Abstract: | Objective To sum up the clinical experience of liver retransplantation.Methods The data from 12 patients who had undergone liver retransplantation in our institute were retrospectively analyzed.Result retransplantation were hepatic artery thrombosis and biliary complication in 3 and 9 patients respectively.6 patients were accompanied with chronic rejection.The rate of retransplantation was 4.17%.8 cases were cured but 4 of them died.Conclusion Liver retransplantation could effectively save the patients with graft failure.Proper indication,optimum time of operation,improvement of operation techniques and proper treatment during perioperative period are important to the successful of liver retransplantation. |
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| Keywords: | Liver transplantation Retransplantation |
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