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[肝移植后脑电图变化的研究]

[Studies on electroencephalographic changes after liver transplantation].

作者信息

Shimoda Jyunko, Tunoda Yoko, Sekiguti Keiko, Fukumura Yukihito, Kubota Fumio, Murakami Masami

机构信息

Department of Laboratory Medicine and Clinical Laboratory Center, Gunma University School of Medicine, Maebashi 371-8511.

出版信息

Rinsho Byori. 2003 Aug;51(8):798-804.

Abstract

EEG was performed before and after surgery in the patients who received living donor livers at our hospital between 1999 and 2001. There were ten patients (6 men and 4 women) and mean ages were 37.0 years. Their disorders were citrullinemia, biliary atresia, liver cirrhosis, and liver cell cancer. EEG was performed at 17 sites according to 10-20 international methods. Power spectra analysis using FFT was also performed. We classified the ten patients into Group A, one patient; Group B, three patients; and Group C; five patients based on EEG basal activity before the operation. Eight of ten patients showed improvement in EEG findings, and two patients showed no change after the operation. One patient of these two patients did not show improvement in liver function after the operation. The other developed cerebral infarction after the operation. EEG is useful for the evaluation of brain function after the liver transplantation.

摘要

1999年至2001年期间,我们医院对接受活体供肝移植的患者在手术前后进行了脑电图(EEG)检查。共有10例患者(6例男性,4例女性),平均年龄为37.0岁。他们所患疾病包括瓜氨酸血症、胆道闭锁、肝硬化和肝细胞癌。根据国际10 - 20方法在17个部位进行了EEG检查。同时还使用快速傅里叶变换(FFT)进行了功率谱分析。根据手术前EEG的基础活动情况,我们将这10例患者分为A组(1例患者)、B组(3例患者)和C组(5例患者)。10例患者中有8例术后EEG表现有所改善,2例患者术后无变化。这2例患者中,1例术后肝功能未改善,另1例术后发生了脑梗死。EEG对肝移植后脑功能的评估很有用。

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