摘要
移植物抗宿主病(graft versus host disease GVHD)多见于异基因造血干细胞移植术后,是导致移植失败和患者死亡的主要原因之一。肝移植术后的GVHD十分罕见,文献报道发生率为1%左右。我院于2005年10月至2006年1月成功诊治1例肝移植术后GVHD,现对该患者的临床资料进行总结,分析肝移植术后GVHD的早期诊断和治疗。
出处
《中华普通外科杂志》
CSCD
北大核心
2007年第4期308-309,共2页
Chinese Journal of General Surgery
参考文献10
-
1Taylor AL, Gibbs P, Bradley JA. Acute graft versus host disease following liver transplantation: the enemy within. Am J Transplant ,2004,4:466-474.
-
2Smith DM, Agura E, Netto G, et al. Liver transplant-associated graft-versus-host disease. Transplantation ,2003,75 : 118-126.
-
3梁廷波,汤晓锋,郑树森,卢安卫,王伟林,沈岩,张珉,孟雪芹.肝脏移植术后移植物抗宿主病三例报告[J].中华医学杂志,2004,84(10):826-829. 被引量:23
-
4Key T, Taylor CJ, Bradley JA, et al. Recipients who receive a human leukocyte antigen-B compatible cadaveric liver allograft are at high risk of developing acute graft-versus-host disease.Transplantation, 2004,78 : 1809-1811.
-
5Soejima Y, Shimada M, Suehiro T, et al. Graft-versus-host disease following living donor liver transplantation, Liver Transplant ,2004,10:460-464.
-
6Kolb HJ, Guenther W, Gyurkocza B, et al. Tolerance and chimerism. Transplantation,2003,75:26S-31S.
-
7Schlitt HJ, Raddatz G, Steinhoff G, et al. Passenger lymphocytes in human liver allografts and their potential role after transplantation. Transplantation, 1993,56:951-955.
-
8Kleeberger W, Rothamel T, Glockner S, et al. Laser-assisted mierodisseetion and short tandem repeat PCR for the investigation of graft chimerism after solid organ transplantation. Pathobiology,2000,68 : 196-201.
-
9Lehner F, Becker T, Sybrecht L, et al. Successful outcome of acute graft versus host disease in a liver allograft recipient by withdrawal of immunosuppression. Transplantation, 2002, 73 :307 -310.
-
10Wisecarver JL, Cattral MS, Langnas AN, et al. Transfusioninduced graft-versus-host disease after liver transplantation:documentation using polymerase chain reaction with HLA-DR sequence-specific primers. Transplantation, 1994,58:269-271.
二级参考文献1
-
1Shu-Sen Zheng,Ting-Bo Liang,Wei-Lin Wang,Dong-Sheng Huang,Yan Shen,Min Zhang,Xiao Xu,Ling-Jun Mou the Department of Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.Clinical experience in liver transplantation from an organ transplantation center in China[J].Hepatobiliary & Pancreatic Diseases International,2002,1(4):487-491. 被引量:5
共引文献22
-
1姚桂玲,汪斌,李玲,胡红焱.肝移植后移植物抗宿主病的研究进展[J].武警医学,2007,18(3):219-221. 被引量:1
-
2李威,牛玉坚,郝钦芳,藏运金,陈新国,刘煜,朱晓丹,关兆杰,韦中余,李昕权.肝移植后急性造血功能停滞4例报告与文献复习[J].中国急救复苏与灾害医学杂志,2006,1(6):221-223.
-
3张赛君,金静,沈丽华.5例肝移植术后移植物抗宿主病的观察与护理[J].中华护理杂志,2005,40(10):746-747. 被引量:10
-
4汤晓锋,郑树森,梁廷波.肝移植后移植物抗宿主病研究进展[J].浙江大学学报(医学版),2006,35(4):453-457.
-
5危笑珍,张献玲,赖丹妮,黄火姐.肝移植术后移植物抗宿主病的护理[J].现代临床护理,2006,5(5):38-40. 被引量:2
-
6吴烈,孙宁东,陈小平,陈世洪,张永进.肝移植术后急性移植物抗宿主病的诊治:附一例[J].中华肝胆外科杂志,2007,13(2):130-131. 被引量:2
-
7刘红,刘婷,李舰,曹华华,卢云清.1例肝移植术后移植物抗宿主病患者的护理[J].中华护理杂志,2007,42(5):418-419. 被引量:4
-
8姚桂玲,李威,马雪平,汪斌.肝移植移植物抗宿主病的嵌合体检测及意义[J].中华肝脏病杂志,2007,15(9):715-717.
-
9叶志霞.原发性肝癌肝移植治疗与护理进展[J].上海护理,2007,7(6):48-50. 被引量:2
-
10姚桂玲,金哈斯,杨晓莉,宋丽洁,丁琪,赵怡雯,胡红焱.肝移植后移植物抗宿主病细胞因子表达的意义[J].中国组织工程研究与临床康复,2008,12(31):6007-6010. 被引量:1
同被引文献9
-
1周彦明,杨甲梅.肝移植术后腹泻的相关病因及处理[J].中国普外基础与临床杂志,2007,14(2):155-158. 被引量:3
-
2Smith DM, Agura E, Netto G, et al. Liver transplant-associated graft-versus-host disease[J]. Transplantation, 2003; 75 (1):118
-
3Taylor AL, Gibbs P, Bradley JA. Acute graft versus host disease following liver transplantation: the enemy within [J]. Am J Transplant, 2004; 4(4):466
-
4Bettens F, Tiercy JM, Campanile N, et al. Microchimerism after liver transplantation: absence of rejection without abroga tion of anti-donor cytotoxic T-lymphocyte-mediated alloreactivity[J].Liver Transpl, 2005,11(3):290
-
5Schappi MG, Belli DC, Rimensberger PC, et al. Fatal GvHD as a complication of liver transplantation for undetermined fulminant hepatic failure and associated aplastic anemia [J]. Liver Transpl, 2006; 12(11): 1693
-
6Pollack MS, Speeg KV, Callander NS, etal. Severe, late onset graft-versus-host disease in a liver transplant recipient documented by chimerism analysis [J]. Hum Immunol, 2005 ; 66 (1) : 28
-
7Meves A, el-Azhary RA, Talwalkar JA, etal. Acute graft versus-host disease after liver transplantation diagnosed by fluorescent in situ hybridization testing of skin biopsy specimens [J].J Am Acad Dermatol, 2006,55(4):642
-
8Wang B, Lu Y, Yu L, etal. Diagnosis and treatment for graftversus-host disease after liver transplantation:two case reports[J].Transplant Proc, 2007,39(5):1696
-
9Chinnakotla S, Smith DM, Domiati-Saad R, etal. Acute graft versus host disease after liver transplantation: role of with drawal of immunosuppression in therapeutic management[J]. Liver Transpl, 2007, 13(1):157
二级引证文献2
-
1包俊霞,王怡.一例肝移植术后移植物抗宿主病患者的护理[J].护士进修杂志,2010,25(21):2016-2016. 被引量:3
-
2中华医学会器官移植学分会,中国医师协会器官移植医师分会,吕国悦,周俭,徐骁,杨扬,朱志军,邱伟,卢倩,王婷,陈康辰,申川,邓宜南,魏林,陈玉国,宋世飞.肝移植术后急性移植物抗宿主病诊疗中国专家共识(2024版)[J].中华消化外科杂志,2024,23(7):883-894.
-
1王琪琰.从护理角度谈口腔颌面部游离皮瓣移植失败的体会[J].口腔医学,1990,10(2):73-75.
-
2张艳,刘孟黎,张红秋.HLA抗体的临床意义及检测技术的研究进展[J].陕西医学杂志,2005,34(3):323-324. 被引量:3
-
3周涛,江峰.彩色多普勒超在肝移植术后血管并发症中的临床应用[J].医学影像学杂志,2011,21(1):135-138. 被引量:2
-
4孙丽敏,陈淑清,陈惠勤,王莉,郭娟华.脐血造血干细胞移植治疗急性白血病的护理[J].现代护理,2005,11(5):370-371.
-
5易为群,戴红霞,钟爱玲,周培明,曹艳冰,冯素多.微创自体骨髓干细胞移植治疗股骨头坏死的手术配合[J].解放军护理杂志,2010,27(22):1725-1726. 被引量:3
-
6危笑珍,张献玲,赖丹妮,黄火姐.肝移植术后移植物抗宿主病的护理[J].现代临床护理,2006,5(5):38-40. 被引量:2
-
7刘纯霞,王艳,曹翠兰,邝彩云,杨计桓,梁健怡.脐血移植中预防早期感染的护理对策[J].中华临床医学杂志,2004,5(8):101-101.
-
8孙士红,宫立众.肝移植后并发症的观察和护理[J].解放军护理杂志,2004,21(8):56-57. 被引量:6
-
9菅鑫妍.肝脏移植后对感染病原体的耐药[J].中国处方药,2006,5(9):29-29.
-
10刘志华,崔怡,滕亮,任贵军,丁俊琴.肝移植患者围手术期护理体会[J].护士进修杂志,2013,28(4):342-344. 被引量:15