在幼儿中移植肝脏 - - 回顾100个病例
Reya Rachel Abraham1, M M Zameer1, C Vinay1
1Department of Paediatric Surgery, Narayana Health City, Bengaluru, Karnataka, India.
Journal of Indian Association of Pediatric Surgeons
|June 24, 2024
概括
肝移植 (LT) 是印度末期肝病 (ESLD) 的儿童的可行治疗方法,尽管存在财务和后勤方面的挑战. 长期监测对于管理并发症和确保儿科LT接受者的积极结果至关重要.
科学领域:
- 儿科肝病学 儿科肝病学
- 移植手术 移植手术
- 新兴经济体的公共卫生
背景情况:
- 儿童末期肝病 (ESLD) 需要肝移植 (LT) 作为最终的治疗方法.
- 在印度接受LT的障碍是金融和后勤障碍,而不是缺乏专业知识.
- 这份报告详细介绍了印度一家单一中心的经验,该中心进行儿科LT.
研究的目的:
- 在印度的一个中心审查100例儿科肝移植 (LT) 病例的结果.
- 突出LT在新兴经济体中的挑战和成功.
- 评估儿科LT的长期可行性和并发症.
主要方法:
- 对2005年以来所有儿科LT病例的前性分析.
- 从结构化机构数据库中收集的数据.
- 对患者人口统计学,适应症,手术,并发症和结果的审查.
主要成果:
- 进行了100次儿科直径试验,胆道动是最常见的征兆 (57%).
- 活体捐赠者LT占主导地位 (91%),母亲是主要的捐赠者.
- 总体生存率为70%,平均随访时间为8.5年,常见的长期后果包括感染和移植排斥.
结论:
- 儿科肝移植 (LT) 在印度是可行的,显示出显著的生存率.
- 长期管理需要解决患者的合规性,财务限制,感染和神经问题.
- 密切监测和定期随访对于早期发现和治疗晚发症并发症至关重要,以改善长期结果.
相关概念视频
Tissue Transplantation
1.4K
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.4K
Kidney Transplant I: Introduction
850
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
850
Kidney Transplant II: Surgical Procedure
956
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
956


