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人工肝联合肝移植治疗重型肝炎的初步研究 被引量:1

Treatment of severe hepatitis with artificial liver support system and liver transplantation
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摘要 目的观察并评价混合人工肝支持系统联合肝移植在救治重型病毒性肝炎(重型肝炎)中的作用与疗效。方法采用自行研制的体外混合人工肝支持系统对 8例中晚期重型肝炎患者进行人工肝过渡支持治疗, 3~ 14 d后行原位肝移植术。结果8例重型肝炎患者经混合人工肝支持,肝衰竭得到有效控制,均成功等到肝移植。肝移植后4例存活,存活率为50%,另4例因肺部感染、肝肾综合征等死亡。结论人工肝支持系统与肝移植联合可作为中晚期重型肝炎肝衰竭患者治疗的有效手段。 Objective To observe and investigate the efficacy of the hybrid artificial liver support system plus liver transplantation in the treatments of patients with severe viral hepatitis. Methods Eight severe viral hepatitis patients with metaphase and advanced stage liver failure received the artificial liver support using a self-aommand extracorporeal hybrid artificial liver support system and orthotopic liver transplantation after the artificial support for 3-14days. Results The liver failure of the 8 patients was controlled by the hybrid artificial liver support effectively. All patients were successfully bridged to orthotopic liver transplantation. Four out of the eight patients survived after transplantation. Four patients died of pulmonary infection or hepatorenal syndrome. Conclusions Artificial liver support system conbined with liver transplantation can be regarded as an efficient measure for the treatment of metaphase and advanced stage patients of severe viral hepatitis.
出处 《中华肝脏病杂志》 CAS CSCD 2001年第4期212-213,共2页 Chinese Journal of Hepatology
基金 全国优秀博士专项基金(199947) 国家自然科学专项基金资助项目(30027001)
关键词 肝移植 人工肝支持系统 重型肝炎 肝衰竭 Liver transplantation Artificial liver, liver support Severe hepatitis Liver failure
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参考文献4

  • 1Maddrey WC.Bioartificial liver in the treatment of hepaticfailure[].Liver Transplantation.2000
  • 2Demetriou AA,Rozga J,Podesta L,et al.Early clinical experience with a hybrid bioartificial liver[].Scandinavian Journal of Gastroenterology.1995
  • 3Dowling DJ,Mutimer DJ.Artificial liver support in acuteliver failure[].European Journal of Gastroenterology and Hepatology.1999
  • 4Bismuth H,Figueiro J,Samuel D.What should we expectfrom a bioartificial liver in fulminant hepatic failure[].Artificial Organs.1998

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