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[移植手术后的重症监护治疗]

[Intensive care treatment following transplant surgery].

作者信息

Kohler S, Pascher A, Neuhaus P

机构信息

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Charité, Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburgerplatz 1, 13353 Berlin.

出版信息

Chirurg. 2006 Aug;77(8):687-95. doi: 10.1007/s00104-006-1209-0.

Abstract

Transplant-related intensive care treatment after transplantation of visceral organs, in Germany traditionally headed by transplant surgeons, is an integral part of postoperative therapy after liver, pancreas, intestinal, and combined organ transplantation, i.e. pancreas-kidney, liver-kidney, and multivisceral transplantation. Apart from adjustment and monitoring of immunosuppressive therapy, as well as common intensive care issues such as cardiopulmonary disease and complications, the avoidance, early detection, and rigorous treatment of transplant-related problems are the focus of surgical intensive care treatment of transplant patients. In the following article, its role after visceral organ transplantation is described regarding the most frequent transplant-related complications such as technical failure, various kinds of infection, and graft failure with different etiologies.

摘要

内脏器官移植后的移植相关重症监护治疗,在德国传统上由移植外科医生主导,是肝脏、胰腺、肠道以及联合器官移植(即胰肾、肝肾和多脏器移植)术后治疗的一个组成部分。除了调整和监测免疫抑制治疗,以及处理诸如心肺疾病和并发症等常见的重症监护问题外,避免、早期发现并严格治疗移植相关问题是移植患者外科重症监护治疗的重点。在接下来的文章中,将针对最常见的移植相关并发症,如技术失败、各种感染以及不同病因导致的移植物功能衰竭,描述其在内脏器官移植后的作用。

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