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| 人工肝支持系统在肝移植围手术期中的应用 | |
| 引用本文： | 郑树森,李兰娟,黄建荣,潘松龄,黄东胜,梁廷波,王伟林,于吉人,陈江华,陈月美,陈亚岗,马伟杭. 人工肝支持系统在肝移植围手术期中的应用[J]. 中华器官移植杂志, 1999, 20(2): 73-75 |
| 作者姓名： | 郑树森 李兰娟 黄建荣 潘松龄 黄东胜 梁廷波 王伟林 于吉人 陈江华 陈月美 陈亚岗 马伟杭 |
| 作者单位： | 1. 浙江医科大学附属第一医院肝胆外科, 杭州,310003 2. 浙江医科大学附属第一医院传染科, 杭州,310003 3. 浙江医科大学附属第一医院血液净化肾移植中心, 杭州,310003 |
| 摘 要： | 目的 为了观察人工肝支持系统在肝移植围手术期中的应用情况。方法 对１例晚期肝硬变伴小肝癌患者流行同种异体原位肝移植，术前术后代进行８次人工肝支持系统治疗。移植术中无肝期采用外静脉转流技术，术后应用甲基泼尼松龙和环孢素进行免疫抑制。结果 患者术后早期恢复顺利，但手术后２１天死于颅内出血。结论认为术前和使用脸工肝支持繁育有改善患者一般情况，使更易耐受手术，并可在急性嘲笑土产共肝时使用，术后使用能改善嘲 |
| 关 键 词： | 肝移植 人工肝支持系统 ALSS |
Application of artificial liver support system in orthotopic liver transplantation |
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| ZHENG Shusen,LI Lanjuan,HUANG Jianrong,et al.. Application of artificial liver support system in orthotopic liver transplantation[J]. Chinese Journal of Organ Transplantation, 1999, 20(2): 73-75 | |
| Authors: | ZHENG Shusen LI Lanjuan HUANG Jianrong et al. |
| Affiliation: | ZHENG Shusen,LI Lanjuan,HUANG Jianrong,et al. First Affiliated Hospital,Zhejiang University,Hangzhou 310003 |
| Abstract: | Objective To investigate the application of artificial liver support system during the perioperation of orthotopic liver transplantation. Methods One patient with end stage liver cirrhosis with liver cancer successfully underwent orthotopic liver transplantation. The patient received artificial liver support system (ALSS) treatment 8 times before and after operation. The recipients' operation was performed under the veno venous bypass procedure. The double drug immunosuppressive regimen , methylprodnisolone and cyclosporine A, was used after operation.Results The patient had a smooth recovery in the early stage and died of intracerebral hemorrhage at the 21st postoperative day.Conclusion ALSS treatment can improve general conditions of the patient before operation, and correct physiological disturbances and help to survive during immune rejection after operation. |
| Keywords: | Liver/transplantation Artificial liver |
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