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

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

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

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.

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

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

摘要/Abstract

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。

关键词:

ABO 血型不相容 , 肝脏移植 , 并发症

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.

Key words:

ABO-incompatible, Liver transplantation, Complications

曲明, 王营, 史彦芬, 杜英东, 尹惠生, 刘延军, 张成钧.

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

[J/CD]. 实用器官移植电子杂志, 2013, 1(1): 31-34.

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

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

[J]. Practical Journal of Organ Transplantation(Electronic Version), 2013, 1(1): 31-34.

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