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Pon 20:50, 21 Mar 2011 |
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06nike7394ud
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Dołączył: 26 Paź 2010
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Ostrzeżeń: 0/5 Skąd: England
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Temat postu: nike sale Orthotopic liver transplantation in 5 ca |
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5 cases of liver transplantation
Good mouth J. . 3.2 The choice of surgical liver transplantation: severe liver disease in patients of poor general condition, diminished capacity to fight the bear, it is best to choose a relatively minor surgical trauma. Standard orthotopic liver transplantation including the liver after liver resection of inferior vena cava,[link widoczny dla zalogowanych], inferior vena cava occlusion is bound to interfere with hemodynamics and homeostasis. 5 cases of liver transplantation in this group of surgical procedures were modified piggyback liver transplantation, the liver retained after the recipient inferior vena cava, because the surgical procedures do not block the inferior vena cava, without venous bypass port], so not only surgery more stable hemodynamics, but also by the venous bypass to avoid the complications caused by [4],[link widoczny dla zalogowanych], the postoperative recovery of patients and lay a good foundation. 3.3 Intraoperative and postoperative management: from the current domestic situation, to carry out liver transplant from a technical point of view has not become a major problem. But the reduction of surgical complications is the key to improving treatment in the early cases,[link widoczny dla zalogowanych], the surgical technique factors are the main factors lead to surgical complications, is also a major cause of death. As well as abnormal clotting mechanism extensive intra-abdominal collateral circulation, bleeding it difficult to stop. Therefore, to reduce blood loss and maintain stable surgical procedure, postoperative recovery is essential. In contrast, during and after a series of management techniques is not yet mature. Most short-term mortality in patients with postoperative postoperative mismanagement related. Such as anesthetic management, hemodynamic state, no liver metabolism characteristics of understanding, the new implant after liver damage, kidney protection, appropriate central venous pressure and other issues. 5 cases of liver transplantation in this case suggest that anti-rejection drugs in the current conditions are ripe, respiratory management and the supply of nutrients is very important to help ride out the emergency period is conducive to the regeneration of liver cells and liver function recovery. Also found that preoperative liver function was worse, postoperative infection, the greater the likelihood of complications,[link widoczny dla zalogowanych], resulting in long recovery time after surgery, the high cost of medical care. Powder should vigorously publicize the transplant as soon as possible to improve the cure rate. 3.4 immunosuppressant: This group of 5 patients, 3 cases were found FK506 and hormone therapy: FK506C can significantly reduce the acute rejection after liver transplantation, steroid-resistant rejection and refractory rejection, and its advantages is no triple drug absorption is not affected bile excretion, the combination hormone 6 to 12 months can be disabled, so FK506 in liver transplantation is recommended as an immunosuppressant. According to the article the experience of 5 cases of liver transplantation, liver transplantation is the treatment effective means of end stage liver disease, is currently the best treatment. 【
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