人体原位肝脏移植26例的并发症防治经验  

Prevention and treatment of surgical complications following liver transplantation: report of 26 cases

作　　者：郑树森[1] 吴健[1] 梁廷波[1] 黄东胜[1] 王伟林[1] 沈岩[1] 张珉[1] 沈倩云[1] 陈文斌[1] 徐骁[1] 傅佩芬[1] 严盛[1] 

机构地区：[1]浙江大学医学院附属第一医院肝胆胰外科,杭州310003

出　　处：《中华普通外科杂志》2001年第12期711-713,共3页Chinese Journal of General Surgery

摘　　要：目的　总结和探讨肝脏移植病人术后常见并发症的防治经验。方法　回顾性分析了2 6例肝脏移植的术后并发症以及对各种并发症的处理。结果　本组病人手术成功率 10 0 %。术后并发症包括腹腔内出血 5例 ,肝上下腔静脉狭窄 1例 ,肝后下腔静脉扭曲狭窄 1例 ,门静脉吻合口成角扭曲狭窄 1例 ,胆管狭窄 2例 ,急性排斥反应 7例 ,慢性排斥反应 1例 ,HBV再感染 4例 ,肝癌肝内复发 4例 ,肺转移 3例 ,颅内出血 5例 ,急性肾功能衰竭 6例 ,感染 2 0例次 ,均给予相应治疗。结论肝脏移植病人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 ,并发症发生后应采取各项积极正确的治疗措施。Objective For prevention and early diagnosis of the complications following liver transplantation.Methods Complications and treatment following liver transplantation in 26 cases were retrospectively analyzed. Results The transplantation was successful in all 26 cases. Complications included intraabdominal bleeding in 5 cases,outflow stenosis of suprahepatic IVC in 1,kinking of posthepatic IVC in 1,stenosis of portal vein in 1, stricture of intrahepatic duct and common hepatic duct in 2,acute rejection in 7,chronic rejection in 1,hepatitis B recurrence in 4, recurrent carcinoma in 4 and lung metastasis in 2,intracerebral hematoma in 5,acute renal function failure in 6 and infection in 20. Conclusions 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.

关 键 词：肝移植 并发症 临床方案 预防 治疗 

分 类 号：R657.3[医药卫生—外科学]