肝移植术后自发性肝破裂出血1例报告

马健; 何力宏; 王凌云; 翟亚楠; 李汛; 张磊

doi:10.3969/j.issn.1001-5256.2022.04.030

肝移植术后自发性肝破裂出血1例报告

DOI: 10.3969/j.issn.1001-5256.2022.04.030

马健^1a,
何力宏²,
王凌云²,
翟亚楠^1b,
李汛^1a, , ,,
张磊^1a, , ,

1a.
兰州大学第一医院普外科，兰州 730000
1b.
兰州大学第一医院影像科，兰州 730000
2.
兰州大学第一临床医学院，兰州 730000

基金项目:

兰州大学第一医院院内基金 (ldyyyn2019-105);

甘肃省高等学校创新基金 (2021B-013)

伦理学声明：本例报告已获得患者知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：马健负责拟定写作思路, 资料分析，撰写论文; 何力宏、王凌云、翟亚楠负责资料采集, 修改论文; 张磊、李汛负责指导撰写文章, 修改论文并最后定稿。

详细信息

通信作者:
李汛，lxdr21@126.com

张磊，drzhanglei@lzu.edu.cn

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- 文章访问数: 384
- HTML全文浏览量: 205
- PDF下载量: 29
- 被引次数: 0
出版历程
- 收稿日期: 2021-07-26
- 出版日期: 2022-04-20

A case of spontaneous hepatic rupture and hemorrhage after liver transplantation

Jian MA^1a,
Lihong HE²,
Lingyun WANG²,
Yanan ZHAI^1b,
Xun LI^{1a
, ,
,},
Lei ZHANG^{1a
, ,
,}

1a.
Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, China
1b.
Department of Radiology, The First Hospital of Lanzhou University, Lanzhou 730000, China
2.
The First Clinical Medical College, Lanzhou University, Lanzhou 730000, China

Research funding:

Hospital Fund of the First Hospital of Lanzhou University (ldyyyn2019-105);

Innovation Foundation of the Higher Education Institutions of Gansu Province, China (2021B-013)

More Information

Corresponding author: LI Xun, lxdr21@126.com(ORCID: 0000-0002-1452-613X); ZHANG Lei, drzhanglei@lzu.cn(ORCID: 0000-0001-9320-304X)

摘要

- 肝移植 /
- 破裂, 自发性 /
- 手术后出血
- Liver Transplantation /
- Rupture, Spontaneous /
- Postoperative Hemorrhage

HTML全文

图 1 围手术期肝功能主要指标变化

Figure 1. Profile of the perioperative liver function

下载: 全尺寸图片幻灯片

图 2 围手术期INR变化

Figure 2. Profile of the perioperative lNR

下载: 全尺寸图片幻灯片

图 3 围手术期凝血指标变化

Figure 3. Profile of the perioperative coagulation function

下载: 全尺寸图片幻灯片

图 4 围手术期Hb、PLT指标变化

Figure 4. Profile of the perioperative Hb and PLT

下载: 全尺寸图片幻灯片

图 5 术后第10天急查B超及全腹CT结果

注：a，超声示腹腔积血; b，CT示肝尾状叶增大、出血; c，CT示小网膜囊积血; d，CT示积血自肝尾状叶延伸至小网膜囊。蓝色箭头示肝尾状叶区，红色箭头示积血。

Figure 5. Ultrasonography and abdominal CT scan on posttransplant 10th day

下载: 全尺寸图片幻灯片

图 6 剖腹探查所见

注：可见尾状叶破裂出血，行缝扎止血。蓝色箭头示肝尾状叶区，黄色箭头示肝动脉。

Figure 6. Intraoperative findings

下载: 全尺寸图片幻灯片

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