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造血干细胞移植后肝窦阻塞综合征研究进展

Advances in the diagnosis and management of sinusoidal obstruction syndrome after allogeneic hematopoietic stem cell transplantation
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摘要 肝窦阻塞综合征(sinusoidal obstruction syndrome,SOS)既往称为肝小静脉闭塞病(veno-occlusive disease,VOD)是造血干细胞移植(HSCT)后的严重并发症,其临床主要表现是肝脏肿大、右上腹痛、黄疸和腹水等[1]。轻度患者病程有自限性,重症患者多合并多脏器功能不全综合征(MODS)或多器官功能衰竭(MOF)[2]。本文对成人HSCT后SOS/VOD的发病机制、危险因素、诊断标准和治疗进展等进行回顾。
作者 蔡璇 张晓辉 Cai Xuan;Zhang Xiaohui(Department of Hematology,Peking University People's Hospital,Peking University Institute of Hematology,Beijing 100044,China)
出处 《中华血液学杂志》 CAS CSCD 北大核心 2021年第12期1052-1056,共5页 Chinese Journal of Hematology
基金 国家重点研发计划(2017YFA0105503) 国家自然科学基金(81730004) 京津冀基础研究合作专项(H2018206423)。
关键词 VOD SOS 自限性
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二级参考文献7

  • 1Coppell JA,Richardson PG,Soiffer R,et al.Hepatic veno- occlusive disease following stem cell transplantation:incidence,clinical course,and outcome[J].Biol Blood Marrow Transplant,2010,16(2):157-168.
  • 2Carreras E,Diaz-Beya M,Rosinol L,et al.The incidence of veno-occlusive disease following allogeneic hematopoietic stem cell transplantation has diminished and the outcome improved over the last decade[J].Biol Blood Marrow Transplant,2011,17(11):1713-1720.
  • 3Myers KC,Dandoy C,El-Bietar J,et al.Veno-occlusive disease of the liver in the absence of elevation in bilirubin in pediatric patients after hematopoietic stem cell transplantation[J].Biol Blood Marrow Transplant,2015,21(2):379-381.
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  • 5Dignan FL,Wynn RF,Hadzic N,et al.BCSH/BSBMT guide- line:diagnosis and management of veno-occlusive disease (sinu- soidal obstruction syndrome) following haematopoietic stem cell transplantation[J].Br J Haematol,2013,163(4):444-457.
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  • 7Benimetskaya L,Wu S,Voskresenskiy AM,et al.Angiogenesis alteration by defibrotide:implications for its mechanism of action in severe hepatic veno-occlusive disease[J].Blood,2008,112(10):4343-4352.

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