Gordon R D, Iwatsuki S, Esquivel C O, Tzakis A, Todo S, Starzl T E
Surgery. 1986 Aug;100(2):342-8.
Six hundred seventy-one first, second, and third orthotopic liver allografts in 520 patients were reviewed to determine the effect of donor-recipient mismatches or incompatibilities for the ABO blood groups on graft survival. A significant advantage for ABO donor-recipient identity was found, especially in adults and for first grafts. However, a surprisingly large number of ABO incompatible grafts were successful. We recommend that nonidentical or incompatible grafts be limited to patients such as small children for whom the supply of available donors is severely limited or for patients in urgent need of transplantation or retransplantation.
回顾了520例患者接受的671例首次、二次及三次原位肝同种异体移植，以确定供受者ABO血型不匹配或不相容对移植物存活的影响。发现ABO供受者血型相同具有显著优势，尤其是在成人患者和首次移植中。然而，数量惊人的ABO不相容移植物也获得了成功。我们建议，非相同或不相容的移植物应仅限于供体供应严重受限的小儿患者，或急需移植或再次移植的患者。
