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肝移植术后第7天综合征

陈云浩 易述红

陈云浩, 易述红. 肝移植术后第7天综合征[J]. 器官移植, 2017, 8(1): 78-81. doi: 10.3969/j.issn.1674-7445.2017.01.0015
引用本文: 陈云浩, 易述红. 肝移植术后第7天综合征[J]. 器官移植, 2017, 8(1): 78-81. doi: 10.3969/j.issn.1674-7445.2017.01.0015

肝移植术后第7天综合征

doi: 10.3969/j.issn.1674-7445.2017.01.0015
基金项目: 

广东省自然科学基金研究团队项目 2015A030312013

中国肝炎防治基金会天晴肝病研究基金 TQGB20140180

详细信息
    通讯作者:

    易述红,Email:yishuhong@163.com

  • 中图分类号: R617, R619

  • 摘要: 第7天综合征(7DS)是肝移植术后早期严重的并发症,虽发生率不高,但预后严重不良,因此在临床上需特别关注。7DS的发病机制尚未阐明,推测可能与脾-肾静脉分流引起的门静脉供血不足有关。7DS的典型表现为术后1周左右不明原因突发的肝衰竭,实验室检查及病理检查无特异性,彩色多普勒超声检查可见门静脉血流速度缓慢,出现双向血流甚至反流,目前除再次肝移植外暂无有效的干预措施。围手术期密切监测患者门静脉血供及分流支,对于具有高风险因素的患者,在术中、术后进行干预,可能是有效预防和治疗7DS的手段。

     

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出版历程
  • 收稿日期:  2016-11-10
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2017-01-15

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