| 活体肝移植后小肝综合征4例 |
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| 引用本文： | 朱雄伟,王毅,刘煜,陈新国,臧运金,沈中阳. 活体肝移植后小肝综合征4例[J]. 中国现代普通外科进展, 2012, 15(10): 783-786 |
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| 作者姓名： | 朱雄伟 王毅 刘煜 陈新国 臧运金 沈中阳 |
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| 作者单位： | 中国武警总医院器官移植研究所 北京 100039 |
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| 摘 要： | 目的:探讨活体肝移植后小肝综合征的病因及其诊治。方法:结合文献,回顾性分析4例小肝综合征的临床特点及治疗经验。结果:4例均有高胆红素血症,2例出现顽固性腹水,最终2例死亡,1例经保守治疗治愈,1例经急诊再次肝移植后治愈。结论:小肝综合征是活体肝移植术后严重并发症,诊治较困难;术前CT评估体积并不能绝对避免小肝综合征的发生;严重者需行再次肝移植。
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| 关 键 词： | 小肝综合征 活体肝移植 |
Diagnosis and treatment of four cases with small-for-size syndrome after living donor liver transplantation |
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| ZHU Xiong-wei , WANG Yi , LIU Yu , CHEN Xin-guo , ZANG Yun-jin , SHEN Zhong-yang. Diagnosis and treatment of four cases with small-for-size syndrome after living donor liver transplantation[J]. Chinese Journal of Current Advances in General Surgery, 2012, 15(10): 783-786 |
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| Authors: | ZHU Xiong-wei WANG Yi LIU Yu CHEN Xin-guo ZANG Yun-jin SHEN Zhong-yang |
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| Affiliation: | ( Institute of Organ Transplantation,General Hospital of Chinese People’s Armed Police Forces(Beijing 100039,China) ) |
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| Abstract: | Objective： To investigate the etiology,diagnosis and treatment of small-for-size syndrome（SFSS）after living donor 1iver transplantation（LDLT）.Methods： The clinical characteristics of and therapeutic experience with four patients with SFSS were retrospectively analyzed.And some related literatures were reviewed.Results： Four patients with SFSS were diagnosed as having hyperbilirubinemia.Among them,two cases died from refractory ascites,one case was cured through medical conservative therapeutics and one case was cured through orthopedic liver transplantation.Conclusion： SFSS is a serious complication after LDLT.It is difficult to diagnose and treat SFSS.Evaluation of hepatic volume by computerized tomography before LDLT can’t avoid SFSS completely.SFSS can be cured by liver re-transplantation. |
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| Keywords: | Small-for-size syndrome Living donor liver transplantation |
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