Experience in clinical organ transplantation in Eu -

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Experience in clinical organ transplantation in Europe

Hepatic artery and liver, the inferior vena cava well cut. In order to avoid the liver after recovery Tan cut liver Xuexun TfiTH: blood and bile leakage, liver cut several times within the common bile duct and hepatic artery and portal vein injection of appropriate pressure maintenance solution, to check whether the liver than the fire Ding Ding Bo left the blood vessels or bile duct tie. Finally, spray a layer of liver cut iff 『fibrin glue to prevent bleeding and bile leakage. Liver disease in children with liver resection and implantation of a new,[link widoczny dla zalogowanych], generally without bypass. Oral surgical procedures before the more popular is the security of the inferior vena cava receptor swollen liver resection patients, can effectively reduce the non-bypass cases, liver transplantation 3t ~ JL children receptor through: the system interference. Plant hepatic inferior vena cava and hepatic inferior vena cava receptor end to side anastomosis, Tan hepatic artery and recipient abdominal aorta end to side anastomosis,[link widoczny dla zalogowanych], bile duct anastomosis built for the Ping. The surgery also has certain limitations. A common difficulty is to reduce the leisure of donor and recipient abdominal cavity volume does not match the fire small. Despite efforts to reduce anti-Tan liver, the abdomen was closed there is still the ultimate short-tailed bird with x, especially the age of 2 recipients. Fourth Shift Tan again 'is the first time the property has lost the function of transplanted for the second time, Zi three or more times the same organ transplant. The author's experience is that once again does a business transfer and complex female surgery, the. Adhesion and the main challenge is to dig mf extensive bleeding, but there is a Hiram i! successful operation. In fact, once the actual transplant surgery field are difficult to forgive than we used to play as the much smaller, should have the courage to explore and practice. Cardiac heterotopic heart transplantation l legislature, ... k in acute crisis or chronic rejection or other causes cardiac function is not planted near failure rate or frequency of patients with a need for another heart transplant. There are three surgical options: ① ectopic replacement heart. ② receptor excision the heart of the original displacement of a heart. ⑨ removal of the heart and the heart transplant receptors, and then move utility orthotopic heart surgery in 1991 (Volume 11) No. 3 plant. Heterotopic heart transplant after the replantation of the major difficulties is the heart and the right lower lung explants extensive adhesions, separation towel prone to multifocal lung leakage. To 199o In July, Hanover heart transplant towel Professor Bost has been implemented under the leadership of 325 cases of human heart transplant, heart replantation l7 cases. Postoperative patients, graft survival rate of 80% a year. Liver replantation is still a prerequisite for the success of receptors on the second transplant tolerance to trauma, rather than the surgical procedure itself. In the past,[link widoczny dla zalogowanych], people always used to plant the liver resection is mistaken for the most difficult operation of left liver replantation process, the reality is not always the case. Because at this plant has been loss of the normal liver structure and vitality, crisp texture, very soft and loose, so the plants do not need to follow the conventional liver resection liver resection of various procedures. First of all anatomical H: receptor common bile duct, portal vein and hepatic artery, liver and liver free inferior vena cava. Blocking the blood vessels in various conditions, just hand dig Iq: liver, blood vessels to clamp the liver fire, a few minutes to complete. Treatment again after transplantation is very important. Extra care in patients after treatment rooms (ICU) to accept the monitoring and treatment of enterprise automation, and all that fear and power are monitored by remote H grounds. Use of electric aiming procedures, like a husband can manage the fire classes 6 to 8 heart, liver patients after transplantation or replantation. I personally think that if I round some of the transplant unit supervisor, care,[link widoczny dla zalogowanych], treatment and improving the system to further complete, and I completely surrounded scholars refuse to move again in the current scope of application of replantation of unremitting expansion of the fire from the kidney to the liver,[link widoczny dla zalogowanych], pancreas and heart {extravagant straight again. With the five permanent members of the new drug development and application of European scholars, both modern and advanced medical technology, but also focus on updating and development of traditional medical methods and concepts. Such as cardiac transplantation and pancreas transplantation of adult receptors, in addition to using the new anticoagulant agents other than aspirin daily 1g also accepted as a regular anticoagulant medication. Another example of liver transplant patients received postoperative long course (20 to 40 days), fire dose (adult daily 5OOo ~ 2oO01U) treatment of liver Dong, update to the past concerns about the fire in such patients long I9j Dong Qi】 The liver may cause d; the traditional concept of the blood, reducing graft thrombosis silk. Another example is the normal blood even in patients after transplantation: follow Wang 1; state of stability, but also a long time, even the commercial dose infusion of dopamine (Adult 200 ~ 300rag / day, once every 20 to 30 days), you can improve and increase the internal organs shift _ Direct organ blood Shu}, for JP-J ~ J graft function recovery can promote. In addition, the jugular vein for infusion was taboo meat dish, towel technique is now widely used, after rapid thermal capacity, long-term infusion of the safe route. Liver, sweet, the shift of patients l {; I-operative from Shun}! F towel tube feeding nutrition into the business, not only to add to Laos to promote the recovery of intestinal function Xiao, more important is to maintain a normal bowel groups were Ru . All of these have inspired us to combine the truth, people gall learning, with the ocean as a towel. ● ■

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