摘要
肝功能衰竭合并肝性脑病，由于受病人全身情况的影响及供体来源等条件的限制。一般不宜行肝移植治疗。本文报道一例酒精性肝硬化、肝性脑病，术前经人工肝支持治疗，病人意识状况明显改善，黄疽减轻，腹水减少，行背驮式肝移植成功；提出：人工肝支持治疗可明显改善该类病人的全身状况，使之度过急性期。人工肝支持系统、肝移植联合治疗扩大了肝移植的适应症，为终末期肝病合并肝性脑病病人带来了生机。
Liver function failure with hepatic encephalopathy doesn't suit liver transplantation,because of the general conditionand the restriction of donor resource. In this article,we report a case of alcoholic cirrhosis with encephalopathy. Preoperative supporting therapy of non-biological artificial liver system was employed,with obvious melioration of awareness,jaundice and ascitesin consequence. After this,a Piggyback liver transplantation was performed and the postoperative recovery was excellent. We suggest that artificial liver supporting system make a bridge to transplantation for patients of end - stage liver disease with encephalopathy.
出处
《肝胆外科杂志》
1998年第6期335-337,共3页
Journal of Hepatobiliary Surgery
关键词
酒精性
肝硬化
肝性脑病
人工肝
肝移植
alcoholic cirrhosis
hepatic encephalopathy
artificial liver
liver transplantation
