医源性损伤所致肝移植：两例病例报告
Liver transplantation due to iatrogenic injuries: two case reports.
作者信息
Di Benedetto F, Mimmo A, D'Amico G, De Ruvo N, Cautero N, Montalti R, Guerrini G P, Ballarin R, Spaggiari M, Tarantino G, Serra V, Pecchi A, De Santis M, Gerunda G E
机构信息
Liver and Multivisceral Transplant Center, University of Modena and Reggio Emilia, Modena, Italy.
出版信息
Transplant Proc. 2010 May;42(4):1375-7. doi: 10.1016/j.transproceed.2010.03.077.
The transjugular intrahepatic portosystemic shunt (TIPS) is an acceptable procedure that has proven benefits in the treatment of patients who have complications from portal hypertension due to liver cirrhosis. In the literature few reports have described complications after TIPS placement. Initial surgery and local hemostasis have been needed to manage abdominal bleeding: if this treatment is insufficient, it may be necessary to perform a liver transplantation. This report describes the role of liver transplantation to manage dangerous complications in 2 patients after TIPS placement, when surgical procedures and hemostasis were unable to stop the bleeding.
经颈静脉肝内门体分流术（TIPS）是一种可接受的手术，已证实对因肝硬化导致门静脉高压并发症的患者治疗有益。文献中很少有关于TIPS置入术后并发症的报道。处理腹腔出血需要进行初次手术和局部止血：如果这种治疗不足，可能有必要进行肝移植。本报告描述了在2例TIPS置入术后患者中，当手术和止血无法止血时，肝移植在处理危险并发症中的作用。
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