Postoperatiive renal hemodynamic in orthotopic liver transplant recipents
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R657.3; R331.3

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    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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HUANG Zu-fa, YANG Wen-long, ZHU Shai-hong, YE Qi-fa, ,ZHANG Mao-zu, CHENG Ke, ZHAO Yu-jun.Postoperatiive renal hemodynamic in orthotopic liver transplant recipents[J]. Chin J Gen Surg,2004,13(3):15-211.
DOI:10.7659/j. issn.1005-6947.2004.03.015

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History
  • Received:January 01,1900
  • Revised:January 01,1900
  • Adopted:
  • Online: March 25,2004
  • Published: