肝移植术围手术期脾亢的处理论文
2014-05-09 02:51
导读：药学论文毕业论文，肝移植术围手术期脾亢的处理论文在线阅读，教你怎么写，格式什么样，科教论文网提供各种参考范例：作者：蒋安，吕毅，刘昌，李宗芳，李泉源，史源，马锋 【关键词】 肝
作者：蒋安，吕毅，刘昌，李宗芳，李泉源，史源，马锋
【关键词】 肝移植；脾功能亢进；移植物排斥；血小板；肺部感染
Treatment of hypersplenism in perioperation of liver transplantation
【Abstract】AIM: To observe the changes in hypersplenism after orthotopic liver transplantation(OLT)and to investigate the influence of splenectomy or splenic artery ligation before or during liver transplantation on the therapeutic outcome. METHODS: Splenectomy or splenic artery ligation was performed on 15(group A) of the consecutive 115 patients undergoing OLT in 5 years, before OTC in 11 of them and during OTC in 4 of them. Sixtyeight randomly selected agematched patients undergoing OTC within the same period but without splenectomy or splenic artery ligation were used as controls (group B). Acute rejection rate , blood PLT count, incidence of lung infection and PVF/HAF（portal venous flow/ hepatic arterial flow） were calculated and analyzed. RESULTS: Lung infaction rate of group A was 85%, significantly higher than that of group B (54%, P
