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原位肝移植的临床考量

Clinical considerations in orthotopic liver transplantation.

作者信息

Tzakis A G, Gordon R D, Makowka L, Esquivel C O, Todo S, Iwatsuki S, Starzl T E

出版信息

Radiol Clin North Am. 1987 Mar;25(2):289-97.

Abstract

Progress in immunosuppression, surgical techniques, and perioperative care has promoted orthotopic liver transplantation from an experimental procedure to an accepted clinical treatment. Orthotopic liver transplantation, in turn, has changed the treatment of terminal liver disease from care that is largely treatment of symptoms and support to cure, but at the price of major surgery and life-long immunosuppression. This article reviews the current status of liver transplantation as practiced at the University of Pittsburgh.

摘要

免疫抑制、手术技术和围手术期护理方面的进展,已将原位肝移植从一种实验性手术推进为一种被认可的临床治疗方法。反过来,原位肝移植也改变了终末期肝病的治疗方式,从主要是对症治疗和支持治疗转变为可治愈,但代价是大手术和终身免疫抑制。本文回顾了匹兹堡大学目前开展肝移植的现状。

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本文引用的文献

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Evolution of liver transplantation.肝移植的发展历程。
Hepatology. 1982 Sep-Oct;2(5):614-36. doi: 10.1002/hep.1840020516.
4
Alternative methods of arterialization of the hepatic graft.
Surg Gynecol Obstet. 1984 Nov;159(5):490-3.
5
Venous bypass in clinical liver transplantation.临床肝移植中的静脉搭桥术
Ann Surg. 1984 Oct;200(4):524-34. doi: 10.1097/00000658-198410000-00013.
10
Liver transplantation in a hemophiliac.血友病患者的肝移植
N Engl J Med. 1985 May 2;312(18):1189-90. doi: 10.1056/NEJM198505023121812.

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