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原位肝移植术后早期黄疸。缺血的作用(作者译)

[Early jaundice after orthotopic liver transplantation. The role of ischaemia (author's transl)].

作者信息

Benichou J, Adda G, Bach B, Lautard M, Houssin D, Vieillefond A, Monod Broca P

出版信息

Nouv Presse Med. 1981 Nov 14;10(41):3375-8.

PMID:7029461
Abstract

The purpose of this experimental study was to identify the cause of early cholestatic jaundice occurring after orthotopic liver transplantation. The role of ischaemia was investigated in dogs undergoing auto-transplantation of the liver preserved for two hours. The animals developed early cholestasis with lesions that were markedly different from the graft-rejection lesions observed in a control group, being restricted to the cells and canaliculi of the central lobular area. The results of this work have made it possible to avoid overdosage with immunosuppressive drugs in a patient who had recently undergone orthotopic liver transplantation.

摘要

本实验研究的目的是确定原位肝移植后早期胆汁淤积性黄疸的病因。在接受肝脏自体移植并保存两小时的犬类动物中研究了缺血的作用。这些动物出现了早期胆汁淤积,其病变与对照组观察到的移植物排斥病变明显不同,局限于中央小叶区域的细胞和胆小管。这项研究的结果使得能够避免在近期接受原位肝移植的患者中过度使用免疫抑制药物。

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