实用器官移植电子杂志 ›› 2013, Vol. 1 ›› Issue (1): 31-34.

• 论著 • 上一篇    下一篇

ABO 血型不相容的成人肝脏移植:附 3 例报告并相关文献回顾

曲明,王营,史彦芬,杜英东,尹惠生,刘延军,张成钧
  

  1. 解放军 107 医院肝胆外科,济南军区肝胆外科中心,山东 烟台 264002
  • 出版日期:2013-01-20 发布日期:2021-04-20
  • 基金资助:
    济南军区科研基金项目(JN11L014)

Clinical efficacies of ABO-incompatible adult liver transplantation :a report of 3 cases and review of the literature

QUMing,WANG Ying,SHI Yan-fen,DU Ying-dong,YIN Hui-sheng,LIU Yan-jun,ZHANG Cheng-jun.   

  1. Department of Hepatobiliary,the PLA 107th Hospital,Yantai 264002,Shandong,China

  • Online:2013-01-20 Published:2021-04-20

摘要:

目的 总结 ABO 血型不相容的成人间肝脏移植经验,回顾相关文献,探讨相关治疗策略。方法 分析 2008 年 1 月至 2011 年 6 月间在本院接受 ABO 血型不相容成人肝脏移植的 3 例患者临床资料,总结 ABO 血型不相容的成人间肝脏移植经验并进行相关文献复习。结果 3 例患者术后均在 72 h 内苏醒,2 例患者有不同程度的精神症状,给予奥氮平口服、氟哌啶醇肌肉注射恢复。未见血管及胆管并发症发生。1 例患者 1 年后因肿瘤转移死亡。余 2 例患者分别随访 1 年、8 个月,生活状况良好。结论 在病情危及生命的情况下,ABO 血型不相容的肝移植是可行的。

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Abstract:

Objective To summarize clinical efficacies of ABO-incompatible adult liver transplantation,review related literature,and explore correlated treatment strategy. Methods The clinical data of 3 patientsundergoing ABO-incompatible adult liver transplantation in our hospital from January 2008 to June 2011 wereanalyzed to summarize clinical efficacies of ABO-incompatible adult livertransplantation. Results All thepatients were recovered in 72 hours. Different extent of psychiatric symptoms occurred in 2 patients and recoveredafter olanzapine and haloperidol were given. Blood vessel and biliary duct complications had not occurred. Onepatient died of neoplasm metastasis. The other 2 were followed 1 year and 8 months respectively with good living status. Conclusion In the state of an illness threat to life,the ABO-incompatible adult liver transplantation is afeasible treatment strategy.

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