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威尔逊病的原位肝移植

Orthotopic liver transplantation for Wilson's disease.

作者信息

DuBois R S, Rodgerson D O, Martineau G, Shroter G, Giles G, Lilly J, Halgrimson C G, Starzl T E, Sternlieb I, Scheinberg I H

出版信息

Lancet. 1971 Mar 13;1(7698):505-8. doi: 10.1016/s0140-6736(71)91121-4.

DOI:10.1016/s0140-6736(71)91121-4
PMID:4100432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2769017/
Abstract

An 11-year-old boy with terminal hepatic failure due to Wilson’s disease was treated 18 months ago with orthotopic liver transplantation. Postoperatively, there has been evidence of clearance of body copper stores but without accumulation of copper in biopsy specimens of the transplanted liver after 6 and 17 months. Further follow-up will be necessary before deciding whether the disorder has been cured by liver replacement and in turn whether this constitutes proof that Wilson’s disease is an inborn error of hepatic metabolism. The observations so far are consistent with these conclusions.

摘要

一名因威尔逊病导致终末期肝衰竭的11岁男孩于18个月前接受了原位肝移植治疗。术后,有证据表明体内铜储备已清除,但在术后6个月和17个月时,移植肝活检标本中未出现铜蓄积。在确定该疾病是否已通过肝脏置换治愈,以及这是否反过来证明威尔逊病是一种先天性肝脏代谢紊乱之前,还需要进一步随访。目前的观察结果与这些结论一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e959/2769017/ae3e0e518e22/nihms148566f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e959/2769017/29db0834d3e9/nihms148566f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e959/2769017/ae3e0e518e22/nihms148566f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e959/2769017/29db0834d3e9/nihms148566f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e959/2769017/ae3e0e518e22/nihms148566f2.jpg

相似文献

1
Orthotopic liver transplantation for Wilson's disease.威尔逊病的原位肝移植
Lancet. 1971 Mar 13;1(7698):505-8. doi: 10.1016/s0140-6736(71)91121-4.
2
Failure of simple biochemical indexes to reliably differentiate fulminant Wilson's disease from other causes of fulminant liver failure.单纯生化指标无法可靠地区分暴发性威尔逊病与其他暴发性肝衰竭病因。
Hepatology. 1992 Nov;16(5):1206-11.
3
Metabolic effects of hepatic replacement in Wilson's disease.肝移植在威尔逊病中的代谢效应。
Transplant Proc. 1973 Mar;5(1):829-33.
4
Studies with radioactive copper ( 64 Cu and 67 Cu); the incorporation of radioactive copper into caeruloplasmin in Wilson's disease and in primary biliary cirrhosis.放射性铜(64Cu和67Cu)的研究;威尔逊氏病和原发性胆汁性肝硬化中放射性铜掺入铜蓝蛋白的情况。
Clin Sci. 1971 Sep;41(3):189-202. doi: 10.1042/cs0410189.
5
Copper and ceruloplasmin; serial studies in viral and alcoholic liver disease.铜与铜蓝蛋白:病毒性和酒精性肝病的系列研究
N Y State J Med. 1981 Oct;81(11):1603-12.
6
Low serum alkaline phosphatase activity in Wilson's disease.威尔逊病患者血清碱性磷酸酶活性降低。
Hepatology. 1986 Sep-Oct;6(5):859-63. doi: 10.1002/hep.1840060509.
7
Serum ceruloplasmin in acute viral hepatitis.急性病毒性肝炎中的血清铜蓝蛋白。
Gastroenterologia. 1967;108(6):309-16. doi: 10.1159/000201632.
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Is it possible to diagnose fulminant Wilson's disease with simple laboratory tests?能否仅通过简单的实验室检查来诊断暴发性肝豆状核变性?
Liver Int. 2020 Jan;40(1):155-162. doi: 10.1111/liv.14263. Epub 2019 Oct 11.
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Clinical differentiation of fulminant Wilsonian hepatitis from other causes of hepatic failure.暴发性威尔逊氏病肝炎与其他肝衰竭病因的临床鉴别
Gastroenterology. 1991 Apr;100(4):1129-34. doi: 10.1016/0016-5085(91)90294-u.
10
[Presymptomatic Wilson's disease. Diagnosis, therapy and family examination].[症状前威尔逊病。诊断、治疗及家族检查]
Dtsch Med Wochenschr. 1973 Sep 14;98(37):1698-703. doi: 10.1055/s-0028-1107111.

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The First Two Liver Transplantations in Syria.叙利亚的首例两例肝移植手术
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Fourteen Years of Experience of Liver Transplantation for Wilson's Disease; a Report on 107 Cases from Shiraz, Iran.威尔逊病肝移植十四年经验:来自伊朗设拉子的107例报告
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World J Hepatol. 2013 Mar 27;5(3):127-32. doi: 10.4254/wjh.v5.i3.127.
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本文引用的文献

1
DETECTION OF THE HETEROZYGOUS CARRIER OF THE WILSON'S DISEASE GENE.威尔逊病基因杂合携带者的检测
J Clin Invest. 1961 Apr;40(4):707-15. doi: 10.1172/JCI104304.
2
IMMUNOSUPPRESSION AFTER EXPERIMENTAL AND CLINICAL HOMOTRANSPLANTATION OF THE LIVER.实验性及临床肝脏同种移植后的免疫抑制
Ann Surg. 1964 Sep;160(3):411-39. doi: 10.1097/00000658-196409000-00007.
3
PENICILLAMINE THERAPY FOR HEPATOLENTICULAR DEGENERATION.青霉胺治疗肝豆状核变性
JAMA. 1964 Sep 7;189:748-54. doi: 10.1001/jama.1964.03070100042008.
4
FAMILIAL HEPATIC COPPER STORAGE DISEASE: A VARIANT OF WILSON'S DISEASE.家族性肝铜贮积病:威尔逊病的一种变体
Arch Dis Child. 1964 Feb;39(203):14-7. doi: 10.1136/adc.39.203.14.
5
RENAL LESIONS IN WILSON'S DISEASE.威尔逊氏病中的肾脏病变
Lancet. 1964 Apr 18;1(7338):843-5. doi: 10.1016/s0140-6736(64)91573-9.
6
Wilson's disease. The presenting symptoms.威尔逊氏病。首发症状。
Arch Dis Child. 1962 Jun;37(193):253-6. doi: 10.1136/adc.37.193.253.
7
Treatment of Wilson's disease with penicillamine.用青霉胺治疗威尔逊氏病。
Lancet. 1960 Jan 23;1(7117):188-92. doi: 10.1016/s0140-6736(60)90109-4.
8
Renal function in Wilson's disease.威尔逊病中的肾功能。
J Clin Invest. 1957 Jul;36(7):1107-14. doi: 10.1172/JCI103506.
9
Hepatolenticular degeneration (Wilson's disease) as a form of idiopathic cirrhosis.肝豆状核变性(威尔逊病)作为一种特发性肝硬化的形式。
N Engl J Med. 1957 Feb 7;256(6):235-42. doi: 10.1056/NEJM195702072560601.
10
Penicillamine, a new oral therapy for Wilson's disease.青霉胺,一种治疗威尔逊氏病的新型口服疗法。
Am J Med. 1956 Oct;21(4):487-95. doi: 10.1016/0002-9343(56)90066-3.