《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 624-626.

• 临床观察 • 上一篇    下一篇

4例活体部分小肠移植术后早期并发症的防治经验

施海; 王为忠; 管文贤   

  1. 第四军医大学西京医院胃肠外科,陕西西安市 710023
  • 收稿日期:2006-03-01 出版日期:2006-07-01 发布日期:2006-07-01

Prophylaxis and Treatment of Early Complications after Live Small Bowel Transplantation: 4 Cases Report

SHI Hai,WANG Wei-zhong,GUAN Wen-xian   

  1. Department of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710033, Shaanxi, China
  • Received:2006-03-01 Published:2006-07-01 Online:2006-07-01

摘要: 目的总结4例活体部分小肠移植术后早期并发症(1月内)的防治办法,为进一步开展活体小肠移植提供经验。方法4例活体部分小肠移植术后1月内,早期并发症重点在于防治吻合血管血栓、出血、感染、排斥反应、移植肠功能障碍等。结果3例移植受体术后1月内分别发生出血倾向、急性排斥反应、感染、移植肠功能障碍等并发症,但经及时准确的诊断与治疗得以好转,移植肠存活及功能均良好。结论注重活体部分小肠移植术后对于早期并发症的预防及治疗,对于患者预后有重要意义。

关键词: 活体小肠移植, 并发症, 治疗, 预防

Abstract: ObjectiveTo summarize the means of prevention and treatment for early complications (in the first month) of partial live small bowel transplantation.MethodsThrombus of anastomosis blood vessel, bleeding, infection, rejection, dysfunction of transplantated bowel were the main complications in the first month after operation, which should be paied more attention to. ResultsFour patients suffered acute rejection, respiratory tract infection, dysfunction of transplantated bowel in first month after operation. After accurately treating, all the complications were cured. The function of transplantated bowels were well. ConclusionPreventing and treating early complications accurately after partial live small bowel transplantation is important.

Key words: live small bowel transplantation, complications, prevention, treatment