| 脑死亡胎儿的肝脏原位灌注与切取 |
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| 引用本文： | 潘承恩,于良,吕毅,刘青光,姚德茂,刘昌.脑死亡胎儿的肝脏原位灌注与切取[J].西安交通大学学报(医学版),1996(1). |
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| 作者姓名： | 潘承恩 于良 吕毅 刘青光 姚德茂 刘昌 |
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| 作者单位： | 西安第一附属医院肝胆外科 |
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| 摘 要： | ２０例胎龄在７个月以上的脑死亡胎儿肝脏用作辅助性移植的供肝，采用原位灌注腹部多器官联合切取的方法，在胎儿有心跳的情况下，气管插管，人工控制呼吸，行肝脏原位灌注和腹部多器官联合切取。本法可以尽可能地减少肝脏的热缺血时间，操作较容易，费时短，保证供肝质量。腹主动脉灌注为最佳途径；脐静脉可作为全身肝素化及补液的途径，亦可辅助灌注。
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| 关 键 词： | 胎儿 肝脏 灌注 切取 |
LIVER PERFUSION IN SITU AND HARVESTING IN FETUS WITH BRAIN DEATH |
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| Pan Cheng'en,Yu Liang, Lu Yi,et al.LIVER PERFUSION IN SITU AND HARVESTING IN FETUS WITH BRAIN DEATH[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1996(1). |
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| Authors: | Pan Cheng'en Yu Liang Lu Yi |
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| Institution: | Department of Hepatobiliary Surgery |
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| Abstract: | Twenty fetuses over seven months with brain death used as donors for auxiliary liver transplantation with the method of prefusion in situ and harvesting through abdominal multivisceral dissection. The perfusion and harvest of liver we re perbrmed under the conditions of the automatic heart beeting and artificial ventilation. The improved method can shorten the thermal ischemia duration,simplify the maneuver and keep the best donor liver quality. According to our study the perfusion through the abdominal aorta can be the best passway and the umbilical vein can act as an auxiliary channel for heparinization,vein infusion and liver perfusion. |
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| Keywords: | fetus liver perfusion harvest |
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