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[一种混合生物人工肝支持系统治疗肝衰竭效果的初步评估]

[Preliminary evaluation on the effects of a hybrid bioartificial liver support system in the treatment of hepatic failure].

作者信息

Wang Ying-jie, He Nian-hai, Niu Run-zhang, Liu Jun, Wen Hong-wei, Li Jia-jia, Wang Yu-ming

机构信息

Southwest Hospital, Third Military Medical University, Chongqing 400038, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2003 Aug;11(8):461-3.

PMID:12939175
Abstract

OBJECTIVES

To construct a novel hybrid artificial liver support system and evaluate its clinical efficacy in the treatment of hepatic failure.

METHODS

A hybrid bioartificial liver support system consisting of plasma exchange device, charcoal perfusion column, and bioreactor cultured human or porcine hepatocytes was developed. 30 patients with hepatic failure were treated using this hybrid system.

RESULTS

Both the excellent rate and effectual rate of the artificial liver support system were 43.3% (13/30). The total effectual rate was 86.7%. Finally, eleven out of 30 patients recovered completely. Six patients were bridged to liver transplantation. Six patients (20%) died of hepatic failure and seven patients (23.3%) discharged due to worsening of disease.

CONCLUSIONS

The hybrid artificial liver support system has prominent liver support effects for hepatic failure, which can be regarded as an efficient measure for the treatment of severe hepatitis.

摘要

目的

构建一种新型混合人工肝支持系统并评估其治疗肝衰竭的临床疗效。

方法

研发一种由血浆置换装置、活性炭灌注柱和培养人或猪肝细胞的生物反应器组成的混合生物人工肝支持系统。使用该混合系统治疗30例肝衰竭患者。

结果

人工肝支持系统的优良率和有效率均为43.3%(13/30)。总有效率为86.7%。最终,30例患者中有11例完全康复。6例患者过渡到肝移植。6例患者(20%)死于肝衰竭,7例患者(23.3%)因病情恶化出院。

结论

混合人工肝支持系统对肝衰竭具有显著的肝支持作用,可被视为治疗重型肝炎的有效措施。

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[Preliminary evaluation on the effects of a hybrid bioartificial liver support system in the treatment of hepatic failure].[一种混合生物人工肝支持系统治疗肝衰竭效果的初步评估]
Zhonghua Gan Zang Bing Za Zhi. 2003 Aug;11(8):461-3.
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[Observation on hybrid bioartificial liver support systems in treating chronic severe hepatitis: a study of 60 cases].[杂交生物人工肝支持系统治疗慢性重型肝炎的观察:60例研究]
Zhonghua Gan Zang Bing Za Zhi. 2006 Mar;14(3):205-9.
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[Study of severe hepatitis treated with a hybrid artificial liver support system].[混合人工肝支持系统治疗重型肝炎的研究]
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Development and perspectives of bioartificial liver support.生物人工肝支持系统的发展与前景
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[Treatment of severe hepatitis with artificial liver support system and liver transplantation].[人工肝支持系统及肝移植治疗重型肝炎]
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A bioartificial liver support system using primary hepatocytes: a preclinical study in a new porcine hepatectomy model.一种使用原代肝细胞的生物人工肝支持系统:在新的猪肝切除模型中的临床前研究。
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