摘要
BACKGROUND: The most common complications after liver transplantation are acute and chronic rejection. Al- though special changes can be found clinically and patho- logically in both of them, sometimes other complications such as preservation injury, recurrent disease ( HBV) and hepatic artery thrombosis should be differentiated from them. METHODS: Five patients with various complications after liver transplantation were synthetically analyzed according to their clinical information, laboratory tests and liver biop- sy findings so as to find out the clinical rules and the histo- logical features. RESULTS: Special changes and diagnostic standards were found clinically and pathologically in both acute and chro- nic rejection. Other complications such as fibrosing choles- tatic hepatitis and hepatic artery thrombosis also had then- own pathological features. Evaluation of donor liver should be done before liver transplantation. CONCLUSION: It is very important to understand and master the diagnostic standards of rejection and the major points for its differentiation.
BACKGROUND: The most common complications after liver transplantation are acute and chronic rejection. Al- though special changes can be found clinically and patho- logically in both of them, sometimes other complications such as preservation injury, recurrent disease ( HBV) and hepatic artery thrombosis should be differentiated from them. METHODS: Five patients with various complications after liver transplantation were synthetically analyzed according to their clinical information, laboratory tests and liver biop- sy findings so as to find out the clinical rules and the histo- logical features. RESULTS: Special changes and diagnostic standards were found clinically and pathologically in both acute and chro- nic rejection. Other complications such as fibrosing choles- tatic hepatitis and hepatic artery thrombosis also had then- own pathological features. Evaluation of donor liver should be done before liver transplantation. CONCLUSION: It is very important to understand and master the diagnostic standards of rejection and the major points for its differentiation.
