摘要
目的 总结背驮式原位肝移植治疗终末期肝病的临床经验。方法 回顾性分析 2例肝炎后肝硬变患者行背驮式原位肝移植手术治疗的临床资料。结果 死亡 1例 ,存活 1例。术后并发症包括腹腔内出血 1例 ,肝后下腔静脉扭曲狭窄 1例 ,急性排斥反应 1例 ,肺部感染、呼吸功能衰竭 1例 ,均给予相应的治疗。结论 肝移植手术是终末期肝病的有效治疗手段。术后应积极预防各种并发症的发生 ,了解各种并发症的发生时间和症状有助于早期诊断 ,并采取各项积极正确的治疗措施。
Objective To summarize the clinical experience in treatment of end-stage liver diseases with piggyback orthotopic liver transplantation.Methods The clinical data of 2 patients with posthepatitic liver cirrhosis treated with piggyback orthotopic liver transplantation were analyzed retrospectivey.Results One patient died and the other still lives.Complications included intraabdominal bleeding in 1 cases,kink of posthepatic in ferior vena cava (IVC) in 1, acute rejection in 1, pulmonary infection and respiratory failure in 1.Conclusion The liver transplantation is an effective means in treatment of end-stage liver diseases.Prevention of complications is extremely important for successful liver transplantation.Early diagnosis and correct management depend upon the knowledge of time and symptoms of corresponding complications following liver transplantation.
出处
《淮海医药》
2002年第5期353-355,共3页
Journal of Huaihai Medicine
关键词
背驮式肝移植
肝炎后肝硬化
术后并发症
终末期肝病
手术方法
Organ transplantation
Piggyback orthotopic liver transplantation
Posthepatitic liver cirrhosis
Complications,postoperative
