摘要
目的总结肝移植术后动脉并发症血栓形成的诊治程序,降低病死率,改善预后。方法回顾性分析本中心成人肝移植术后肝动脉血栓形成(HAT)的临床经过。结果540例共7例发生HAT,分别经溶栓、取栓术和再次移植术治疗,手术效果明显,溶栓失败者出现胆道并发症。结论彩色多普勒、螺旋CT及血管造影有助于及时诊断,果断手术是理想的治疗手段。
[Objective] To summarize the proper diagnostic and therapeutic procedure of hepatic artery thrombosis（HAT） after liver transplantation. [Method ] Retrospectively analyze clinic cause of HAT cases after adult OLT in our center. [Result] 7 of 540 cases had HAT. Thrombolysis, embolectomy and retransplantation were performed respectively. The surgery showed optimistic outcome. Failed thrombolysis leads to biliary complications. [Conclusion] Duplex Doppler examination, spiral CT scan and angiographly can benefit to diagnosis of HAT in time. Emergency operation should be considered first.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第6期884-885,888,共3页
China Journal of Modern Medicine
关键词
肝移植
肝动脉血栓形成
liver transplantation
hepatic artery thrombosis
