摘要
目的 报告 3例危重肝功能衰竭 (ChildC)患者的肝移植治疗经验。探讨影响该类患者肝移植效果的诸多因素及其解决办法。方法 3例患者均行同种异体背驮式原位肝移植术治疗。结果 例 1、2分别已存活 32个月、11个月余 ,生活质量良好 ;例 3术后亦已 1月余 ;例 1、2术后曾发生胆道梗阻并发症 ,均经再次手术将胆管端 端吻合改为胆肠Roux en Y吻合后痊愈。结论 (1)采用有效的方法尽快改善患者的术前状况 ,及时采取手术治疗是保证肝移植疗效的基础 ;(2 )正确的术式选择 ,精细的手术操作及完善的麻醉配合是确保手术成功的关键 ;(3)严密的术后观察、并发症的正确处理 ,尤其是胆道并发症的治疗 ,是患者能否长期存活的重要环节。
Objectives The experience in liver transplantation in 3 cases of severe hepatic function failure (Child C) was reported to investigate the factors affecting the outcome of patients receiving liver transplantation and to search the resolvents.Method Three patients received piggyback transplantation.Results Cases 1 and 2 had respectively survived 32 and 11 months postoperatively with excellent live quality. Case 3 is still in her postoperative recovery phase. Cases 1 and 2 suffered from postoperative complications of biliary obstruction, both of them were surgically cured with re operation of choledochojejunostomy.Conclusions (1) Improving the general condition with an effective method and performing the operation as soon as possible, are the basis on which patients may get a good result. (2) Reasonable, exquisite procedure, and harmonious anaesthetic cooperation are the key factors assuring successful operation. (3) Close postoperative monitoring and correct treatment of complications, especially the biliary complications, are also very important as to the long survival of patient.
出处
《中华器官移植杂志》
CAS
CSCD
2000年第2期72-74,共3页
Chinese Journal of Organ Transplantation
关键词
肝移植
肝功能衰竭
并发症
Liver transplantation
Hepatic function failure
Complication
