期刊文献+

原位肝移植治疗急性重型乙型肝炎 被引量:4

Orthotopic liver transplantation to treat patients with fulminant Hepatitis B
原文传递
导出
摘要 目的 探讨原位肝移植治疗急性重型乙型肝炎的效果。方法 在体外静脉转流下对 7例急性重型乙型肝炎患者行原位肝移植 ,5例患者伴有不同程度的肝性脑病 ,1例合并急性肾功能衰竭 ,1例合并上消化道大出血。术后存活者均服用拉咪呋啶预防乙型肝炎的复发。结果 术后 5例存活 ,2例死亡。术前伴有肾功能衰竭的 1例 ,术后 3d死于多器官功能衰竭 ;另 1例术后 44d死于重型肝炎 (复发 )。 5例存活者观察期内 (2~ 6个月 )未见乙型肝炎复发。 Objectives To investigate the therapeutic effects of orthotopic liver transplantation in the treatment of fulminant hepatitis B and the efficiency of lamivudine on recurrence of hepatitis B. Methods Seven patients with fulminant hepatitis B received orthotopic liver transplantation under veno venous bypass. All patients had serious jaundice, ascites and hemorrhagic tendency, and of whom 5 were associated with encephalopathy, 1 with acute renal failure, and 1 with gastrohemorrhage. Results Five patients survived for 2 to 6 months after transplantation, 2 died of multi organ failure or recurrence of fulminant hepatitis B . No recurrence of hepatitis B was found in the 5 survival patients taking lamivudine. Conclusions Orthotopic liver transplantation is an effective therapy for fulminant hepatitis B, and lamivudine may prevent recurrence of hepatitis B after transplantation.
出处 《中华器官移植杂志》 CAS CSCD 2000年第3期173-174,共2页 Chinese Journal of Organ Transplantation
关键词 重型乙型肝炎 原位肝移植 急性 Liver transplantation Hepatitis B Liver failure,acute
  • 相关文献

参考文献1

共引文献8

同被引文献10

引证文献4

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部