3例RhD阴性患者肝移植  

Liver transplantation in RhD negative patients:a report of 3 cases

作　　者：刘海[1] 叶启发[1] 朱晒红[1] 杨文龙[1] 

机构地区：[1]中南大学湘雅三医院肝胆一病区,湖南长沙410013

出　　处：《肝胆胰外科杂志》2007年第1期20-21,共2页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的探讨RhD阴性肝移植患者接受RhD阳性肝脏和RhD阳性血的适应证和预后。方法分析3例RhD阴性患者接受RhD阳性肝脏和RhD阳性血液的临床资料。结果1例患者术后2月出现D抗体,3例RhD阴性接受RhD阳性器官和RhD阳性血液的肝脏移植患者都没有出现溶血反应或排斥反应。结论D抗体阴性的RhD阴性患者接受RhD阳性肝脏和RhD阳性血液是可行的。Objective To investigate the prognosis and indications of RhD positive liver graft and blood transfusion for R.hD negative receiptor. Methods The clinical data of 3 RhD negative patients receiving RhD positive liver graft and blood transfusion were analysed retrospectively. Results Anti-D antibody occurred 2 months after liver transplantation in 1 case, whereas there was no hemolysis or rejection in all these 3 patients. Conclusion It is reasonable for a RhD negative patient to receive RhD positive liver graft and blood transfusion if only her or his sera anti-D antibody is negative.

关 键 词：肝移植 RhD阴性受体 输血 

分 类 号：R657.3[医药卫生—外科学]