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相关概念视频

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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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...
340
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

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Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
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Liver Physiology01:30

Liver Physiology

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The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of  70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
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Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

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In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
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相关实验视频

Updated: Jan 15, 2026

Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation
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Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation

Published on: June 14, 2024

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动态肝脏保存:当前的证据和未来的挑战

N De Stefano1,2, D Monbaliu1, J Blondeel1

  • 1Department of Abdominal Transplantation Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium.

Acta gastro-enterologica Belgica
|October 13, 2025
PubMed
概括

动态保存 (DP) 技术,如常温机器输液 (NMP) 和低温氧化输液 (HOPE) 改善肝移植结果,特别是扩展标准供体 (ECD). 这些方法提高了移植的活力,减少了损伤.

关键词:
肝脏移植 肝脏移植扩展标准 捐助者 捐赠者低温氧化氧化的情况.机器 perfusion perfusion perfusion 透机是什么? 机器是什么? 机器是什么?标准热 perfusion 的使用情况.器官的保存器官的保存

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Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion
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Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion

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相关实验视频

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Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation

Published on: June 14, 2024

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科学领域:

  • 肝病学 肝病学是一种肝病学.
  • 移植手术 移植手术
  • 器官的保存 器官的保存

背景情况:

  • 由于器官供体短缺,肝移植 (LT) 面临着挑战.
  • 动态保存 (DP) 越来越重要,特别是在扩展标准捐赠者 (ECD) 身上.

研究的目的:

  • 审查LT中各种DP技术的临床应用和未来潜力.
  • 评估DP对移植结果和保存的影响.

主要方法:

  • 使用Medline (PubMed) 进行了一项文献审查.
  • 确定了有关常温机器输液 (NMP),低温氧化输液 (HOPE) 和常温区域输液 (NRP) 的相关研究.

主要成果:

  • 像NMP,HOPE和NRP这样的DP技术显示出显著的临床益处.
  • 通过NMP,可以实时评估移植,并减少缺血-再输液损伤 (IRI).
  • 希望通过支持线粒体恢复减轻IRI,NRP改善循环死亡捐赠者后捐赠的结果.

结论:

  • DP已经彻底改变了肝脏的保存,为静态冷藏提供了优越的结果,特别是对于ECD.
  • 需要标准化的临床终点来提高DP研究的适用性.