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公民逝世后器官捐献供肝移植胆道并发症的预防经验

武玉强 胡泽民 何坤 黄东东 孙强 阮嘉后 罗启杰 黄锐钦

武玉强, 胡泽民, 何坤, 等. 公民逝世后器官捐献供肝移植胆道并发症的预防经验[J]. 器官移植, 2017, 8(4): 299-303. doi: 10.3969/j.issn.1674-7445.2017.04.009
引用本文: 武玉强, 胡泽民, 何坤, 等. 公民逝世后器官捐献供肝移植胆道并发症的预防经验[J]. 器官移植, 2017, 8(4): 299-303. doi: 10.3969/j.issn.1674-7445.2017.04.009
Wu Yuqiang, Hu Zemin, He Kun, et al. Prevention experience of biliary tract complications after liver transplantation from organ donation after citizen's death[J]. ORGAN TRANSPLANTATION, 2017, 8(4): 299-303. doi: 10.3969/j.issn.1674-7445.2017.04.009
Citation: Wu Yuqiang, Hu Zemin, He Kun, et al. Prevention experience of biliary tract complications after liver transplantation from organ donation after citizen's death[J]. ORGAN TRANSPLANTATION, 2017, 8(4): 299-303. doi: 10.3969/j.issn.1674-7445.2017.04.009

公民逝世后器官捐献供肝移植胆道并发症的预防经验

doi: 10.3969/j.issn.1674-7445.2017.04.009
基金项目: 

广东省中山市“十二五”医学重点专科经费资助项目 T2012002

详细信息
    通讯作者:

    胡泽民, Email:hzm13823933118@qq.com

  • 中图分类号: R617, R657.4

Prevention experience of biliary tract complications after liver transplantation from organ donation after citizen's death

More Information
  • 摘要:   目的  总结公民逝世后器官捐献供肝移植的胆道并发症预防经验。  方法  回顾性分析2008年10月至2016年12月中山大学附属中山医院88例公民逝世后器官捐献肝移植病例的临床资料。  结果  88例均符合中国标准三类捐献(即脑-心双死亡标准器官捐献)。所有病例按标准获取流程成功完成肝脏捐献, 88例受者均顺利植入供肝, 胆道重建多采用胆管端端吻合, 供者胆管尽可能短, 吻合时保持微张力。未出现原发性移植肝无功能、排斥反应。1例患者出现胆漏经引流3周后自愈, 2例患者出现胆道狭窄并发症, 经置入胆道支架后缓解。  结论  加强获取器官管理, 采用规范的获取供肝流程, 充分利用体外膜肺氧合(ECMO), 尽量缩短热、冷缺血时间, 注意胆道重建技巧, 有助于减少胆道并发症发生率, 公民逝世后器官捐献供肝移植可以取得满意的临床效果。

     

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出版历程
  • 收稿日期:  2017-04-18
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2017-07-15

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