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类固醇疗法成功治疗ABO血型不合原位肝移植中的溶血:一例报告

Successful management of hemolysis in ABO-nonidentical orthotopic liver transplantation by steroid therapy: a case report.

作者信息

Auwerda J J, Bac D J, van't Veer M B, de Rave S, Yzermans J N

机构信息

Department of Internal Medicine, Ikazia Hospital, Rotterdam, The Netherlands.

出版信息

Transpl Int. 1996;9(5):509-12. doi: 10.1007/BF00336831.

Abstract

Hemolysis due to donor-derived B lymphocytes has been reported in patients who have undergone ABO-nonidentical orthotopic liver transplantation (OLT). Yet, until now, little was known about the management of this transplantation-induced hemolysis. In this report we describe our experience with hemolysis in a patient after OLT. In addition, based on theoretical assumption, we hypothesize that corticosteroids can be helpful in the management of ABO-nonidentical OLT-induced hemolysis.

摘要

据报道,接受ABO血型不合原位肝移植(OLT)的患者会出现供体来源的B淋巴细胞导致的溶血。然而,到目前为止,对于这种移植引起的溶血的处理知之甚少。在本报告中,我们描述了1例OLT术后患者溶血的治疗经验。此外,基于理论假设,我们推测皮质类固醇可能有助于处理ABO血型不合OLT引起的溶血。

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