原位肝移植术后肾血流动力学研究
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Postoperatiive renal hemodynamic in orthotopic liver transplant recipents
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    目的:探讨原位肝移植(OLT)受者肾的血流动力学变化及其相关因素。方法:20例因肝硬化行OLT患者,分别于术前、术后7d,30d,6个月及1年时应用彩色多普勒血流显像仪(CDFI)测定肾动脉血流阻力指数(RI)、测定血清肌酐(Cr)值,并与10例正常人进行对照。 结果:术后早期OLT受者RI与血清Cr在均升高(P<0.01),至术后1年可逐渐恢复正常(P>0.05)。结论:原位肝移植术后肾血流动力学大都在1年内恢复正常,术前肾的异常及术中血流动力学变化可导致术后肾功能不全,但术后长期的肾功能改变则主要与环孢菌素(CsA)等的作用有关。

    Abstract:

    Abstract:Objective:To investigate the renal hemodynamic changes after orthotopic liver transplantation(OLT)and the correlative parameters. Methods: In 20 patients undergoing OLT for cirrhosis,the following renal arterial resistance index(RI) was measured before surgery and 7days,30days, 6 months and 1 year after operation by using color Doppler flow imaging(CDFI) and serum creatinine detection.Meanwhile the same parameters were measured in 10 healthy as controls. Results: Both RI and serum Cr rised after OLT (P<0.01), restored to normal after OLT in 1 year(P>0.05). Conclusions:Most alteration of renal hemodynamic parameters in cirrhosis are restored to normal after OLT in 1 year. Preoperative renal abnormalities and intraopterative alteration of hemodynamic may contribute to postoperative renal dysfunction.Cyclosporine(CsA) is the most likely etiologic agent of postoperative renal dysfunction.

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黄祖发,杨文龙 ,朱晒红, 叶启发, 张懋祖,成柯,赵于军.原位肝移植术后肾血流动力学研究[J].中国普通外科杂志,2004,13(3):15-211.
DOI:10.7659/j. issn.1005-6947.2004.03.015

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  • 在线发布日期: 2004-03-25