童年时患有末期肝脏疾病的淋巴细胞炎
G Noble-Jamieson1, S Thiru, P Johnston
1Department of Paediatrics, Addenbrooke's Hospital, Cambridge, UK.
Lancet (London, England)
|March 21, 1992
概括
儿科肝移植接受者通常会患上凝聚氨基炎. 然而,大多数患者在移植后表现出稳定的功能,受影响儿童的蛋白尿症得到缓解.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科胃肠病学 儿科胃肠病学
- 移植免疫学 移植免疫学
背景情况:
- 肝移植对于患有末期肝病的儿童来说是一个拯救生命的手术.
- 移植后的脏并发症,包括淋巴结膜炎,可能会影响长期的结果.
- 了解儿科肝移植后的病理的发生率和过程至关重要.
研究的目的:
- 在接受肝移植的儿童中调查质炎的发生和特征.
- 评估这些患者移植后的功能和临床过程.
主要方法:
- 在18名儿科肝移植接受者中,在外科手术期间进行了脏活检.
- 组织病理学分析确定了淋巴结膜炎的类型 (间增殖性或间毛细血管性).
- 移植后对功能进行了监测,包括膜过率和蛋白尿.
主要成果:
- 所有18名儿科肝移植接受者在脏活检上都表现出丸炎.
- 主要的类型是中性增殖性球炎 (15/18).
- 在16名活着4个月以上的患者中,只有1人表现出逐渐下降的功能;1人有静态的低正常过. 蛋白尿症在所有6名手术前受影响的儿童中都消失了.
结论:
- 淋巴结核突炎是儿科肝移植接受者的常见发现.
- 尽管有活检结果,但大多数儿童的功能在移植后通常稳定或改善.
- 肝移植可能对此种人群中先前存在的蛋白尿有有益影响.
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