儿科肝移植的一个罕见并发症:移植后的隔膜
Ulgen Celtik1, Zafer Dokumcu1, Coskun Ozcan1
1Department of Pediatric Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Pediatric transplantation
|April 16, 2024
概括
移植后腹膜 (PTDH) 是儿童肝移植的一个罕见并发症. 在手术过程中对脑血管的损伤可能会导致PTDH,这可能会在几年后出现.
科学领域:
- 儿科手术 儿科手术
- 肝病学 肝病学是一种肝病学.
- 移植医学 移植医学
背景情况:
- 移植后获得的腹膜 (PTDH) 是儿科肝移植 (LT) 后的一种不常见的并发症.
- 了解PTDH的表现和潜在原因对于及时诊断和管理至关重要.
研究的目的:
- 介绍作者在儿科肝移植患者中使用PTDH的经验.
- 讨论这个人群中PTDH的潜在致病因素.
主要方法:
- 在LT (2015-2023) 之后接受隔膜修复的儿科患者的医疗记录的回顾性审查.
- 评估人口统计数据,LT指标,手术技术和PTDH临床发现.
主要成果:
- 确定了七名患有PTDH的儿科患者.
- 在LT的中位数年龄为69个月;PTDH发生在LT后的中位数9个月.
- 常见的症状包括呼吸困难和腹痛;大多数病例涉及小肠. 两个病例出现严重并发症 (胃穿孔,结肠卷发).
结论:
- 儿科LT后PTDH是一种罕见但严重的并发症.
- 虽然大多数有症状的病例在第一年内出现,但可以发生晚发,无症状的PTDH.
- 在LT期间过度烧伤,可能损伤下血管,这是一个合理的原因.
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