| 七例八次背驮式原位肝移植 |
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| 引用本文： | 叶启发,陈知水,陈实,曾凡军,刘敦贵,周平,夏穗生,裘法祖.七例八次背驮式原位肝移植[J].中华器官移植杂志,1998,19(1):33-35. |
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| 作者姓名： | 叶启发 陈知水 陈实 曾凡军 刘敦贵 周平 夏穗生 裘法祖 |
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| 作者单位： | 同济医科大学附属同济医院,武汉,430030 |
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| 摘 要： | 对４例Ｗｉｌｓｏｎ病及３例晚期肝病患者施行了８次背驮式原位肝移植术，其中１例为减体积性背驮式原位肝移植。３例已分别存活２年、９个月、６个月，４例死于术后并发症。认为代谢性疾病是原位肝移植的最佳适应证，其次是肝硬变；术后感染、急性和慢性排斥、肺部并发症及胆道并发症是影响患者存活的重要因素；背驮式原位肝移植对全身血流动力学的影响较小。
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| 关 键 词： | 肝移植 背驮式 原位 |
Piggyback orthotopic liver transplantation in 4 patients with Wilson disease and 3 with advanced liver diseases |
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| Abstract: | Piggyback orthotopic liver transplantation(OLT) (8 times)was performed in 4 patients with Wilson disease and 3 with advanced liver diseases.Of 7 patients,6 cases(7 times) received piggyback OLT with whole liver,1 piggyback OLT with reduced-size grafts of right hepatic lobe.Three cases have survived 2 years,9 months and 4 months,respectively.Four cases died of postoperative complications.It was considered that metabolic disease was the best indications for OLT,then the hepatic cirrhosis.The key factors influencing the survival of the patients include postoperative infection,acute and chronic rejection,pulmonary complications and bile duct complications.Piggyback OLT has little effect on the haemodynamics of whole body. |
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| Keywords: | Liver/transplantation Liver diseases |
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