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肝移植治疗鸟氨酸转氨甲酰酶缺乏症的疗效:病例报告

Curative Treatment of Ornithine Transcarbamylase Deficiency With a Liver Transplant: A Case Report.

作者信息

Shamsaeefar Alireza, Nikeghbalian Saman, Dehghani Seyed Mohsen, Kazemi Kourosh, Motazedian Nasrin, Geramizadeh Bita, Malekhosseini Seyed Ali

机构信息

From the Shiraz Organ Transplant Center, Shiraz, Iran.

出版信息

Exp Clin Transplant. 2019 Feb;17(1):119-120. doi: 10.6002/ect.2016.0052. Epub 2016 Jul 22.

Abstract

One of the X chromosome-linked disorders is ornithine transcarbamylase deficiency in the urea cycle. This disorder results in increased ammonia and glutamine in the blood. Accumulation of these metabolites without treatment causes brain edema, which often progresses to coma and death. This study describes a 5-year-old girl with ornithine transcarbamylase deficiency who presented with hyperammonemic encephalopathy that was successfully treated with an orthotropic liver transplant. Recently, liver transplant has been introduced as an alternative treatment for patients with ornithine transcarbamylase deficiency.

摘要

X染色体连锁疾病之一是尿素循环中的鸟氨酸转氨甲酰酶缺乏症。这种疾病会导致血液中氨和谷氨酰胺增加。如果不进行治疗,这些代谢产物的积累会导致脑水肿,常常发展为昏迷和死亡。本研究描述了一名患有鸟氨酸转氨甲酰酶缺乏症的5岁女孩,她表现为高氨血症性脑病,通过原位肝移植成功治愈。最近,肝移植已被引入作为鸟氨酸转氨甲酰酶缺乏症患者的一种替代治疗方法。

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