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2010年  第1卷  第3期

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征稿启事
2010, 1(3).
摘要(22) PDF 231KB($!{article.pdfDownCount})
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述评
浅谈器官移植实验研究的发展
程颖, 刘永锋
2010, 1(3): 133-134. doi: 10.3969/j.issn.1674-7445.2010.03.001
摘要(41) PDF 167KB($!{article.pdfDownCount})
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论著
小鼠肝动脉重建对长时间冷保存移植肝存活率的影响
王国栋
2010, 1(3): 135-140. doi: 10.3969/j.issn.1674-7445.2010.03.002
摘要(37) PDF 499KB($!{article.pdfDownCount})
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急性细胞性排斥伴补体裂解片断C4d沉积对移植肾预后的影响
王仁定, 王慧萍, 吴建永, 王逸民, 张建国, 王苏娅, 黄洪锋, 何强, 陈江华
2010, 1(3): 141-143,165. doi: 10.3969/j.issn.1674-7445.2010.03.003
摘要(43) PDF 278KB($!{article.pdfDownCount})
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腹腔镜活体供肾切取术中皮质肾单位及间质损伤的实验研究
聂海波, 于立新, 胡卫列
2010, 1(3): 144-148. doi: 10.3969/j.issn.1674-7445.2010.03.004
摘要(46) PDF 404KB($!{article.pdfDownCount})
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温度对犬肺灌注保存效果的影响
张真榕, 刘德若
2010, 1(3): 149-154. doi: 10.3969/j.issn.1674-7445.2010.03.005
摘要(25) PDF 481KB($!{article.pdfDownCount})
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肝癌肝移植适应证标准——验证及再思考
樊嘉, 杨广顺, 傅志仁, 彭志海, 夏强, 彭承宏, 钱建民, 周俭, 徐泱, 邱双健, 钟林, 周光文, 张建军
2010, 1(3): 155-157,169. doi: 10.3969/j.issn.1674-7445.2010.03.006
摘要(41) PDF 274KB($!{article.pdfDownCount})
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体外膜肺氧合在边缘供心移植中的临床应用研究
孟旭, GURBANOV Emin, 崔永强, 韩杰, 曾文, 贾一新
2010, 1(3): 158-165. doi: 10.3969/j.issn.1674-7445.2010.03.007
摘要(62) PDF 452KB($!{article.pdfDownCount})
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Objective To review the efficacy and clinical outcomes of extracorporeal membrane oxygenation(ECMO)used for donor hearts with long cold ischemic times (LCIT) during heart transplantation.Methods From February 2005 to April 2009,11 patients were received allografts with LCIT over 7 hours underwent both intraoperative ECMO circuit treatment and ECMO support postoperation (i-ECMO group).Another 11 patients with ischemia time of heart grafts less than seven hours were received postoperation ECMO support as a salvage therapy after perioperative standard cardiopulmonary bypass CPB(s-CPB group).Rate of weaning ECMO,length of ICU stay,volume of packed red blood cell (PRBC) transfusion,left ventricular ejection fraction (LVEF),cost of hospitalization,rate of perioperative survival and rate of 1-year postoperative survival were compared between the two groups.ECMO-related complications were observed.Results There was a significant difference in cold ischemic time between the two groups (P<0.01),with cold ischemic time ranging from 422 to 485 minutes (mean 448 minutes) in i-ECMO group while 110 to 400 minutes (mean 218 minutes) in s-CPB group.Ten patients (91%) in i-ECMO group were weaned off ECMO and all survived to discharge.Only a patient in this group died of massive intraoperative bleeding (not ECMO-related).Rate of weaning ECMO in the s-CPB group was 82% (9/11).The overall weaning rate of ECMO application during heart transplantation was 86%.The overall 30-day and 1-year survival rates for i-ECMO and s-CPB groups were 91% and 82%,73% and 64%,respectively.There was no difference in mortality between the two groups (P>0.05).Compared with s-CPB group,the length of stay in ICU,the requirement for PRBC administration and the total in-hospital cost were significantly reduced in the i-ECMO group (P<0.05).The preoperative and postoperative LVEF of i-ECMO and s-CPB groups were 0.23±0.06 and 0.25±0.10,0.65±0.12 and 0.66±0.06,respectively.LVEF of both groups significantly improved after operation.An intra-aortic balloon pump (IABP) was applied due to low cardiac output in 5 patients (23%),among them 3 patients weaned from ECMO except another two patients.Among 6 patients (27%) who required continuous renal repacement therapy (CRRT ) due to renal dysfunction,2 were weaned from ECMO and 4 could not be weaned.Conclusions Application of ECMO in postoperative period provides early,continued and effective support for donor hearts with LCIT and efficiently makes use of such marginal organs.Reduced length of ICU stay,reduced transfusion volume of PRBC and reduced in-hospital cost are additional advantages of this technique.
肝移植术后胆道并发症的处理(附40例次报道)
李传云, 刘源, 赖威, 曾道炳, 郭庆良, 林栋栋, 武聚山, 王孟龙, 卢实春, 李宁
2010, 1(3): 166-169. doi: 10.3969/j.issn.1674-7445.2010.03.008
摘要(34) PDF 289KB($!{article.pdfDownCount})
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肝移植围手术期出凝血功能的变化
季学闻, 张金辉, 赵晋明, 邰沁文, 阿依甫汗·阿汗, 温浩
2010, 1(3): 170-172. doi: 10.3969/j.issn.1674-7445.2010.03.009
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肝脏移植治疗自身免疫性肝炎2例报告并文献复习
刘军, 公伟, 杨凤辉, 许世峰, 周旭, 于光圣, 徐延田, 卢俊
2010, 1(3): 173-175,186. doi: 10.3969/j.issn.1674-7445.2010.03.010
摘要(24) PDF 285KB($!{article.pdfDownCount})
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肾移植早期快速激素减量安全性分析
马斌斌, 徐达, 王祥慧, 周佩军, 邵琨
2010, 1(3): 176-180. doi: 10.3969/j.issn.1674-7445.2010.03.011
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亲属活体肾移植64例临床分析
韩利忠, 刘致中, 李建新
2010, 1(3): 181-183. doi: 10.3969/j.issn.1674-7445.2010.03.012
摘要(17) PDF 221KB($!{article.pdfDownCount})
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病例报告
肝移植治疗肝脏广泛局灶性结节性增生1例
朱楠, 张海斌, 杨宁, 董辉, 付雍, 杨广顺
2010, 1(3): 184-186. doi: 10.3969/j.issn.1674-7445.2010.03.013
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综述
肺移植免疫抑制治疗方案进展概况
周鸿敏
2010, 1(3): 187-192. doi: 10.3969/j.issn.1674-7445.2010.03.014
摘要(30) PDF 494KB($!{article.pdfDownCount})
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