| 肝移植治疗暴发性肝功能衰竭17例临床观察 |
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| 引用本文： | 陈知水,叶启发,曾凡军,刘敦贵,明长生,林正斌,沙波,张伟杰,文志向,刘斌,魏来,蒋继贫,朱学海,夏穗生.肝移植治疗暴发性肝功能衰竭17例临床观察[J].临床外科杂志,2002,10(3):149-150. |
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| 作者姓名： | 陈知水 叶启发 曾凡军 刘敦贵 明长生 林正斌 沙波 张伟杰 文志向 刘斌 魏来 蒋继贫 朱学海 夏穗生 |
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| 作者单位： | 430030,武汉,华中科技大学同济医学院附属同济医院器官移植研究所 |
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| 摘 要： | 目的 观察肝移植治疗暴发性肝功能衰竭的效果及失败原因。方法 总结本所17例暴发性肝衰行肝移植治疗的临床资料。结果 17例暴发性肝衰行肝移植6例存活1年，1年存活率为35．3％。死亡原因分别为肺部感染致呼吸衰竭6例，多器官衰竭2例，术后胸腔大出血1例，DIC1例，颅内出血1例。结论 病人术前状况决定肝移植效果；肺部并发症是暴发性肝功能衰竭肝移植术后死亡的主要原因。
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| 关 键 词： | 治疗 临床观察 肝移植 暴发性肝功能衰竭 |
| 文章编号： | 1005-6483(2002)03-0149-02 |
| 修稿时间： | 2002年4月12日 |
Liver transplantation in FHF patient:17 cases report |
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| CHEN Zhishui,YE Qifa,ZENG Fanjun,et al..Liver transplantation in FHF patient:17 cases report[J].Journal of Clinical Surgery,2002,10(3):149-150. |
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| Authors: | CHEN Zhishui YE Qifa ZENG Fanjun |
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| Institution: | CHEN Zhishui,YE Qifa,ZENG Fanjun,et al. Transplantation Institute,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China |
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| Abstract: | Objective To investigate the effect of liver transplantation in treatment of fulminant hepatic failure (FHF) patients.Method A retrospective analysis was made for 17 FHF patients treated with liver transplantation therapy.Result The one year survival rate was 35.3%. The reasons of death were include 6 cases pulmonary infection, 3 cases hemorrhage (chest hemorrhage 1 case, DIC 1 case, intracerebral hemorrhage 1 case) and 2 cases multiple organ failure.Conclusion The outcome of liver transplantation in treatment with FHF was depended on pre-operative common condition of patients. The main cause of post-operation death was attributed to pulmonary complications. |
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| Keywords: | Liver transplantation Fulminant hepatic failure |
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