AIM： To correlate the significance of liver biochemical tests in diagnosing post orthotopic liver transplantation （OLT） biliary complications and to study their profile before and after endoscopic therapy.METHODS：...AIM： To correlate the significance of liver biochemical tests in diagnosing post orthotopic liver transplantation （OLT） biliary complications and to study their profile before and after endoscopic therapy.METHODS： Patients who developed biliary complications were analysed in detail for the clinical information, laboratory tests, treatment offered, response to it, follow up and outcomes. The profile of liver enzymes was determined. The safety, efficacy and outcomes of endoscopic retrograde cholangiography （ERC） were also analysed. RESULTS： 40 patients required ERC for 70 biliary complications. GGT was found to be 〉 3 times （388.1 ± 70.9 U/mL vs 168.5 4± 34.2 U/L, P = 0.007） and SAP 〉 2 times （345.1 ± 59.1 U/L vs 152.7 ± 21.4 U/L, P = 0.003） the immediate post OLT values. Most frequent complication was isolated anastomotic res in 28 （40%）. Sustained success was achieved in 26 （81%） patients. CONCLUSION： Biliary complications still remain an important problem post OLT. SAP and GGT can be used as early, non-invasive markers for diagnosis and also to assess the adequacy of therapy. Endoscopic management is usually effective in treating the majority of these biliary complications.展开更多
目的 探讨中药柴胡对急性肝脏缺血性损伤的保护作用。 方法 大鼠56只随机分为正常组(n=8)、普食组(n=24)和柴胡组(n=24),采用常温下肝门血流完全阻断60min制备大鼠肝脏缺血性损伤模型,动态检测术后血清丙氨酸转氨酶(ALT)、谷草氨酸转氨...目的 探讨中药柴胡对急性肝脏缺血性损伤的保护作用。 方法 大鼠56只随机分为正常组(n=8)、普食组(n=24)和柴胡组(n=24),采用常温下肝门血流完全阻断60min制备大鼠肝脏缺血性损伤模型,动态检测术后血清丙氨酸转氨酶(ALT)、谷草氨酸转氨酶(AST)及肝组织5′-核苷酸酶(5′-NT)活性的变化。 结果 术后1d,各组大鼠血清ALT,AST(kU/L,(?)±s)均明显高于正常(ALT:普食组116±18或柴胡组105±18 vs 正常22±8;AST:192±25或175±23 vs 26±8,P<0.05);而5′-NT(U/g)活性明显低于正常(0.65±0.03或0.68±0.04 vs 1.65±0.09,P<0.05);术后4d,实验组上述指标虽部分恢复,但仍未达正常水平;其中普食组较柴胡组恢复慢,且有明显差异(普食组vs柴胡组,ALT 107±15 vs 62±12,AST 167±20 vs 71±14,5′-NT 0.82±0.04 vs 1.12±0.07,P<0.05);术后7d,柴胡组ALT,AST均恢复正常,而普食组尚未正常,柴胡组肝组织5′-NT(1.01±0.05 vs 1.50±0.08,P<0.05)明显高于普食组。 结论 柴胡对肝脏缺血性损伤有保护作用,能降低血清转氨酶、保护肝功能、抑制肝损害,为临床上应用柴胡治疗肝脏手术后肝功能损害,促进肝功能恢复奠定了实验基础。展开更多
文摘AIM： To correlate the significance of liver biochemical tests in diagnosing post orthotopic liver transplantation （OLT） biliary complications and to study their profile before and after endoscopic therapy.METHODS： Patients who developed biliary complications were analysed in detail for the clinical information, laboratory tests, treatment offered, response to it, follow up and outcomes. The profile of liver enzymes was determined. The safety, efficacy and outcomes of endoscopic retrograde cholangiography （ERC） were also analysed. RESULTS： 40 patients required ERC for 70 biliary complications. GGT was found to be 〉 3 times （388.1 ± 70.9 U/mL vs 168.5 4± 34.2 U/L, P = 0.007） and SAP 〉 2 times （345.1 ± 59.1 U/L vs 152.7 ± 21.4 U/L, P = 0.003） the immediate post OLT values. Most frequent complication was isolated anastomotic res in 28 （40%）. Sustained success was achieved in 26 （81%） patients. CONCLUSION： Biliary complications still remain an important problem post OLT. SAP and GGT can be used as early, non-invasive markers for diagnosis and also to assess the adequacy of therapy. Endoscopic management is usually effective in treating the majority of these biliary complications.
文摘目的 探讨中药柴胡对急性肝脏缺血性损伤的保护作用。 方法 大鼠56只随机分为正常组(n=8)、普食组(n=24)和柴胡组(n=24),采用常温下肝门血流完全阻断60min制备大鼠肝脏缺血性损伤模型,动态检测术后血清丙氨酸转氨酶(ALT)、谷草氨酸转氨酶(AST)及肝组织5′-核苷酸酶(5′-NT)活性的变化。 结果 术后1d,各组大鼠血清ALT,AST(kU/L,(?)±s)均明显高于正常(ALT:普食组116±18或柴胡组105±18 vs 正常22±8;AST:192±25或175±23 vs 26±8,P<0.05);而5′-NT(U/g)活性明显低于正常(0.65±0.03或0.68±0.04 vs 1.65±0.09,P<0.05);术后4d,实验组上述指标虽部分恢复,但仍未达正常水平;其中普食组较柴胡组恢复慢,且有明显差异(普食组vs柴胡组,ALT 107±15 vs 62±12,AST 167±20 vs 71±14,5′-NT 0.82±0.04 vs 1.12±0.07,P<0.05);术后7d,柴胡组ALT,AST均恢复正常,而普食组尚未正常,柴胡组肝组织5′-NT(1.01±0.05 vs 1.50±0.08,P<0.05)明显高于普食组。 结论 柴胡对肝脏缺血性损伤有保护作用,能降低血清转氨酶、保护肝功能、抑制肝损害,为临床上应用柴胡治疗肝脏手术后肝功能损害,促进肝功能恢复奠定了实验基础。
