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肝移植术后颅内出血的原因及防治
引用本文:陈焕伟,甄作均,苏树英,许卓明,计勇.肝移植术后颅内出血的原因及防治[J].肝胆外科杂志,2001,9(1):23-24.
作者姓名:陈焕伟  甄作均  苏树英  许卓明  计勇
作者单位:广东省佛山市第一人民医院普通外科
基金项目:广东省医学科研基金资助课题!(A2 0 0 0 72 9)
摘    要:目的:探讨肝移植术后颅内出血的原因及防治方法。方法:1999年12月-2000年11月共施行原位肝移植7例。结果:6例获得成功,1例术后死于脑出血。结论:肝移植术后脑出血的原因主要与受体凝血功能障碍、术中大量输血、术后高血压以及全身性感染有关,围手术期应密切监测凝血功能,减省术中出血,控制高血压,防治感染,头颅CT检查有利于早期诊断和治疗。

关 键 词:肝移植  脑出血  防治
文章编号:1006-4761(2001)01-0023-02
修稿时间:2000年12月22

CAUSES OF INTRACEREBRAL HEMORRHAGE AFTER ORTHOTOPIC LIVER TRANSPLANTATION AND ITS PROPHYLAX IS AND TREATMENT
Chen Huanwei,Zhen Zuojun,Su Shuying,et al..CAUSES OF INTRACEREBRAL HEMORRHAGE AFTER ORTHOTOPIC LIVER TRANSPLANTATION AND ITS PROPHYLAX IS AND TREATMENT[J].Journal of Hepatobiliary Surgery,2001,9(1):23-24.
Authors:Chen Huanwei  Zhen Zuojun  Su Shuying  
Institution:Chen Huanwei,Zhen Zuojun,Su Shuying,et al.Department of General Surgery,The first People's Hospital of FoShan,Guang Dong Foshan,Foshan 528000
Abstract:Objective To explore the risk factors,the prophylaxis and the treatment of intracerebral hemorrhage following liver transplantation.Method Form December 1999 to November 2000,orthotopic liver transplantation (OLT) has been performed for 7 cases.Result 6 cases survived and 1 cases died.Conclusion Intracerebral hemorrhage is an common complication after OLT with very poor prognosis.The major causes may be unremarkable coagulation of recipient,massive transfusion during operation,hypertension and severe infection after OLT.Monitoring the coagulation during perioperation,decreasing the quantity of bleeding during operation, controlling the hypertension and infection and performing copmuter tomography of brain are helpful to the early diagnosis and prompt treatment for intracerebral hemorrhage after OLT.
Keywords:Liver  Transplantation  Cerebral hemorrhage
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