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活体肝移植术后供体胆漏的诊治体会

李灿明 朱志军 孙丽莹 魏林 曲伟 曾志贵 刘颖

李灿明, 朱志军, 孙丽莹, 等. 活体肝移植术后供体胆漏的诊治体会[J]. 器官移植, 2016, 7(4): 301-304. doi: 10.3969/j.issn.1674-7445.2016.04.011
引用本文: 李灿明, 朱志军, 孙丽莹, 等. 活体肝移植术后供体胆漏的诊治体会[J]. 器官移植, 2016, 7(4): 301-304. doi: 10.3969/j.issn.1674-7445.2016.04.011
Li Canming, Zhu Zhijun, Sun Liying, et al. Experience in diagnosis and treatment of donor bile leakage after living donor liver transplantation[J]. ORGAN TRANSPLANTATION, 2016, 7(4): 301-304. doi: 10.3969/j.issn.1674-7445.2016.04.011
Citation: Li Canming, Zhu Zhijun, Sun Liying, et al. Experience in diagnosis and treatment of donor bile leakage after living donor liver transplantation[J]. ORGAN TRANSPLANTATION, 2016, 7(4): 301-304. doi: 10.3969/j.issn.1674-7445.2016.04.011

活体肝移植术后供体胆漏的诊治体会

doi: 10.3969/j.issn.1674-7445.2016.04.011
基金项目: 

北京市医院管理局“登封”人才培养计划 DFL20150101

详细信息
    通讯作者:

    朱志军,Email:zhu-zhijun@outlook.com

  • 中图分类号: R617

Experience in diagnosis and treatment of donor bile leakage after living donor liver transplantation

  • 摘要:   目的  总结活体肝移植术后供体胆漏的诊治经验。   方法  回顾性分析95例活体肝移植供体的临床资料,了解术后胆漏并发症发生情况,重点分析胆漏并发症供体的临床表现、处理方法及治疗效果。   结果  95例肝移植供体术后发生胆漏9例,胆漏的发生率为9%。9例胆漏供体的供肝部位均为左外叶,均为肝断面迟发型胆漏,临床表现无典型胆汁性腹膜炎表现,血清胆红素升高。给予经皮穿刺引流或保留引流管处理后均治愈,无二次手术及死亡病例。   结论  活体肝移植供体术后应注意监测供体肝功能及肝动脉血流动力学变化,对并发胆漏的供体予以积极治疗,预后良好。

     

  • 表  1  9例活体肝移植供体肝断面胆漏的术后表现及治疗情况

    Table  1.   Postoperative performance and treatment of bile leakage of donor liver in 9 cases with living donor liver transplantation

    序号 年龄
    (岁)
    性别 术后胆漏
    发现时间(d)
    腹部体征 发热 总胆红素
    (μmol/L)
    直接胆红素
    (μmol/L)
    治疗方法 结果
    1 36 7 43.5 20.2 穿刺引流 治愈
    2 28 7 42.0 23.4 保留引流管 治愈
    3 30 17 21.0 15.2 穿刺引流 治愈
    4 45 19 17.3 10.1 穿刺引流 治愈
    5 32 12 23.4 15.1 穿刺引流 治愈
    6 35 12 21.0 14.2 穿刺引流 治愈
    7 46 10 30.1 20.0 穿刺引流 治愈
    8 25 10 38.0 23.0 穿刺引流 治愈
    9 37 10 18.5 11.1 穿刺引流 治愈
    下载: 导出CSV
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    Zhu ZJ, Sun LY, Wei L, et al. Liver transplantation for the treatment of biliary atresia in children: a report of 130 cases in China[J]. Chin J Pediatr Surg, 2014,35(4):259-264.
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出版历程
  • 收稿日期:  2016-04-02
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2016-07-15

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