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首例临床异体全小肠移植的围手术期处理
引用本文:李宁 黎介寿. 首例临床异体全小肠移植的围手术期处理[J]. 中华器官移植杂志, 1994, 15(3): 112-114
作者姓名:李宁 黎介寿
作者单位:中国人民解放军南京军区南京总医院腹部外科
基金项目:国家自然科学基金,军队“八五”重点课题
摘    要:本文报告国内道例小肠移植的临床经过的转手术期处理。供体为男性,28岁。受者为女性,31岁,因慢性小肠结肠炎、反复肠梗阻及短肠综合征而接受小肠移植。移植肠长250cm,热缺血6分钟,冷缺血9小时45分钟,行一期原位移植,未端回肠10cm旷置作为观察窗。免疫抑制方案为环孢素A、雷公藤、甲基强的松龙联合用药。受者术后经过顺利,现已98天,移植肠功能在恢复中。

关 键 词:小肠 结肠炎 移植术 围手术期

Perioperative management for the first case of small-bowel transplantation
Li Ning, Li Jie-shou, Li You-sheng,et al.. Perioperative management for the first case of small-bowel transplantation[J]. Chinese Journal of Organ Transplantation, 1994, 15(3): 112-114
Authors:Li Ning   Li Jie-shou   Li You-sheng  et al.
Abstract:A woman with enterocolitis, ileus and short gut syndrome received a complete cadaveric intestinal transplantation on Mar. 12. 1994. The warm ischemia time was 6 minutes and the cold ischemia, 9 hours and 45 minutes. One-step orthotopic transplantation was performed with the terminal ileum enterostomized. The immunosuppressive therapy consisted of Cyclosporine, Tripterygium Wolfordii and Methylprednisolone. The patient is alive and the function of the graft is resuming. The successful result of this case suggests that small-bowel transplantation has moved towards becoming a practical clinical service in China.
Keywords:Enterocolitis  Transplantation  small bowel Handling  perioperative period  
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