动脉血管重建对肝移植术后黄疸的影响及防治

Etiology and management of jaundice of hepatic artery reconstruction after liver transplantation

目的探讨15例因肝动脉血供不足导致的肝移植术后黄疸的预后及防治.方法对1995年～2004年该院实施的223例,231次肝移植临床资料进行回顾性分析,其中15例肝动脉吻合血流供应不足.结果15例肝动脉血流不足导致肝移植术后黄疸终致肝功能衰竭,8例行再次肝移植.结论预防和治疗肝血流不足是肝移植术成功的重要保障.

To prevent and treat jaundice of 15 cases of hepatic artery blood supply deficiency after liver transplantation. To analyze clinical data in 231 cases liver transplantations (8 cases liver re-transplantations). Hepatic artery blood supply deficiency was one of the most essential causes responsible for jaundice and liver function failure after liver transplantation. 8 cases accepted liver re-transplantations. [Conclusion] To prevent and treat hepaticartery blood supply deficiency can achieve good outcome for liver transplantation.