极低龄DCD供肝在婴儿肝移植中的疗效分析  

Effect Analysis of Very Young DCD Liver Donors in Infants Liver Transplantation

作　　者：王兴强[1] 于立新[1] 刘懿禾[1] 淮明生[1] 

机构地区：[1]天津市第一中心医院移植ICU,天津300192

出　　处：《继续医学教育》2016年第6期91-93,共3页Continuing Medical Education

基　　金：器官移植科国家临床重点专科建设项目(2013544)

摘　　要：目的评估极低龄儿童心脏死亡器官捐献（DCD）供肝在婴儿肝移植中的疗效。方法收集我院2013年12月~2015年4月应用极低龄DCD供肝行肝移植的11例患儿临床资料,包括供体资料、受体资料及随访资料。结果所有供者年龄均小于2月,11例婴儿肝移植受者年龄4~11月。术后有5例患儿出现并发症,其中肝动脉血栓形成4例,门静脉血栓形成1例,肝性脑病3例,肺炎1例,经治疗后均痊愈出院。所有患者随访均长期健康存活。结论极低龄DCD供肝可以作为婴儿肝移植肝源,但并发症发生率偏高。Objective Evaluation of the effect of very young children organ donation after cardiac death（DCD） in liver transplantation in infants. Methods Collect the clinical data that 11 infants who do the liver transplantation with the very young DCD liver donor from December 2013 to April 2015, including donor data, receptor and follow-up data. ResultsAll donor ages were less than 2 months, 11 cases of infant liver transplant recipients aged from 4 months to 11 months. Postoperative complications occurred in 5 cases, including 4 cases of hepatic artery thrombosis, 1 cases of portal vein thrombosis, 3 cases of hepatic encephalopathy, 1 cases of pneumonia. All were cured after therapy and discharged. All patients were followed up for long term healthy survival. Conclusion Very young DCD donor liver can be used as a source of infant liver transplantation, but the complication rate is high.

关 键 词：心脏死亡器官捐献 供者 婴儿 肝移植 

分 类 号：R617[医药卫生—外科学]