Abstract:

Objective To investigate the prophylaxis, diagnosis and treatment of perforation of intestine post pediatric liver transplantation. Methods Retrospective analysis was done on 33 pediatric liver transplantation in Tianjin First Center Hospital from July 1, 2013 to December 31, 2013 (including 2 gross liver transplantation, 7 split liver transplantation _y and 24 living donor liver transplantation) . Patients were followed up for 3 months. Results One patient suffered from perforation of intestine. The patient was cured by wedge excision and reconstruction of intestine. Conclusions The key points of diagnosis and treatment of intestinal perforation post liver transplantation were early discovery, early diagnosis, and early treatment. The risk factors were the using of glucocorticosteroid, immunosuppressive agents, malnutrition, and infection o￡ abdominal cavity. Manifestation including continuous high fever, abdominal distension, unclear drainage, tenderness of abdominal, and abdominal cavity inflated with air in ultrasound test.

摘要：

目的探讨小儿肝移植术后小肠穿孔的预防、诊断和治疗。方法回顾分析天津市第一中心 医院2013年7月1日至2013年12月31日进行的33例小儿肝脏移植（其中全肝移植2例,劈离式肝移植7例， 活体肝移植24例）。术后随访3个月。结果 出现小肠穿孔1例，手术楔形切除局部肠管并重建肠管治愈。 结论肝移植术后肠穿孔诊治的关键是早期发现，早期手术治疗。危险因素为应用糖皮质激素、免疫抑制剂、 营养不良、腹腔感染。临床表现为高热不退、腹胀、腹腔引流液混浊、腹部压痛，超声检査发现腹腔胀气。