人体原位肝脏移植26例的并发症防治经验

目的 总结和探讨肝脏移植病人术后常见并发症的防治经验。方法 回顾性分析了26例肝脏移植的术后并发症以及对各种并发症的处理。结果 本组病人手术成功率100%，术后并发症包括腹腔内出血5例，肝上下腔静脉狭窄1例，肝后下腔静脉扭曲狭窄1例，门静脉吻合口成角扭曲狭窄1例，胆管狭窄2例，急性排斥反应7例，慢性排斥反应1例，HBV再感染4例，肝癌肝内复发4例，肺转移3例，颅内出血5例，急性肾功能衰竭6例，感染20例次，均给予相应治疗，结论 肝脏移植病人术后应积极预防各种并发症的发生，了解各种并发症的发生时间和症状有助于早期诊断，并发症发生后应采取各项积极正确的治疗措施。

Prevention and treatment of surgical complications following liver transplantation:report of 26 cases

Objective For prevention and early diagnosis of the complications following liver transplantation.Methods Complications and treatment following liver transplantation in 26 cases were retrospectively analyzed. Results The transplantation was successful in all 26 cases. Complications included intraabdominal bleeding in 5 cases,outflow stenosis of suprahepatic IVC in 1,kinking of posthepatic IVC in 1,stenosis of portal vein in 1, stricture of intrahepatic duct and common hepatic duct in 2,acute rejection in 7,chronic rejection in 1,hepatitis B recurrence in 4, recurrent carcinoma in 4 and lung metastasis in 2,intracerebral hematoma in 5,acute renal function failure in 6 and infection in 20. Conclusions Prevention of complications is extremely important for successful liver transplantation. Early diagnosis and correct management depend upon the knowledge of time and symptoms of corresponding complications following liver transplantation.