| 术前即时血浆置换对慢性重型肝炎肝移植的价值 |
| |
| 引用本文： | 郭庆良,卢实春,王孟龙,赖威,张振,韩大康,代丽丽,李宁. 术前即时血浆置换对慢性重型肝炎肝移植的价值[J]. 北京医学, 2010, 32(3): 200-203 |
| |
| 作者姓名： | 郭庆良 卢实春 王孟龙 赖威 张振 韩大康 代丽丽 李宁 |
| |
| 作者单位： | 首都医科大学附属北京佑安医院肝胆外科暨肝移植中心,100069;首都医科大学附属北京佑安医院人工肝治疗中心,100069;首都医科大学附属北京佑安医院性病艾滋病防治中心,100069 |
| |
| 基金项目： | 国家自然科学基金(30671977);;首都医学发展基金(2005-2034) |
| |
| 摘 要： | 目的评价术前血浆置换对慢性重型肝炎肝移植手术过程及预后的影响。方法回顾性分析我中心2004年8月至2008年10月连续82例慢性重型肝炎肝移植患者的临床资料,其中56例于肝移植术前2～3h行血浆置换治疗。结果慢性重型肝炎患者血浆置换后,肝功能、凝血功能显著改善（P〈0.01）。血浆置换组术中出血量少,输血量也少（P〈0.01）;术后脱呼吸机早（P〈0.05）,胃肠功能及意识恢复快,有显著性差异（P〈0.01）。两组患者术后近期并发症率、1个月生存率无显著性差异。结论肝移植术前血浆置换能改善慢性重型肝炎患者的术前状况,虽不能降低术后并发症发生率及提高术后生存率,但有利于慢性重型肝炎患者肝移植手术的顺利进行和术后早期恢复。
|
| 关 键 词： | 血浆置换 慢性重型肝炎 肝移植 |
The value of plasma exchange immediately before liver transplantation for patients with chronic severe hepatitis |
| |
| GUO Qing-liang,LU Shi-chun,WANG Meng-long,et al. The value of plasma exchange immediately before liver transplantation for patients with chronic severe hepatitis[J]. Beijing Medical Journal, 2010, 32(3): 200-203 |
| |
| Authors: | GUO Qing-liang LU Shi-chun WANG Meng-long et al |
| |
| Affiliation: | Hepato-Pancreato-Biliary Surgery Department and Liver Transplantation Center;Beijing You'an Hospital;Beijing 100069 |
| |
| Abstract: | Objective To observe and investigate the effect of plasma exchange (PE) before liver transplantation on the operation and prognosis of chronic severe hepatitis.Methods Of 82 consecutive cases with chronic severe hepatitis underwent liver transplantation during June 2004 to October 2008 were analyzed retrospectively.Among 82 cases,56 patients were treated with plasmapheresis 2-3 hours before operation.Results After plasma exchange,the liver function and coagulation status were improved remarkably than before... |
| |
| Keywords: | Plasma exchange Chronic severe hepatitis Liver transplantation |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
