肝、肾联合移植13例临床总结

Combined liver and kidney transplantation: a report of 13 cases

目的对肝、肾联合移植的病例进行临床总结。方法回顾性分析13例肝、肾联合移植患者的临床资料。结果肝、肾联合移植术后,4例肝硬化、肝功能衰竭合并肾功能衰竭患者,3例存活1年以上,1例于术后1年半死于乙型病毒性肝炎复发及肝功能衰竭,1例围手术期死于多器官功能衰竭;4例多囊肝、多囊肾合并肝、肾功能损害患者,全部存活1年以上,其中最长存活者已达4年,1例存活1年半后死于肝功能衰竭(慢性功能丧失);5例乙型病毒性肝炎(重型)合并肝肾综合征患者,2例存活1年以上,3例围手术期死于多器官功能衰竭及严重感染。结论肝、肾联合移植是治疗终末期肝、肾疾病的有效方法;对病情较为危重者应行体外静脉转流。

Objective To study the effect of simultaneously combined liver and kidney transplantation (SLKT) on end-stage liver and kidney diseases. Methods Thirteen cases subject to SLKT from 1996 to 2004 were reviewed in The First Affiliated Hospital of Sun Yat-sen University. Among them, there were 4 cases of polycystic liver and kidney, 4 cases of hepatic cirrhosis and renal failure, and 5 cases of fulminant heptic failure and hepatorenal syndrome. Ten were males and 3 females with an average age of 45.5 years old....