肝移植术围手术期脾亢的处理
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 orthotohttps://p.9136.com/28e. 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
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