肝移植术后脾动脉盗血综合征的诊治方法与预防进展(1)
[摘要] 脾动脉盗血综合征是指门脉高压症合并脾亢患者,在发生脾动脉增粗和血流加速的病理基础上,脾动脉与肝动脉竞争腹腔干血流,导致肝动脉灌注减少,从而引起以肝细胞与胆管细胞缺血、缺氧性损伤为特点的综合征,也是肝移植术后导致移植物功能丧失以及受体死亡的原因之一。本文将从肝移植术后脾动脉盗血综合征发生的原理、诊断及防治等方面作一综述。[关键词] 肝移植;脾动脉盗血综合征;并发症;预防
[中图分类号] R657.3 [文献标识码] A [文章编号] 1673-7210(2019)04(c)-0027-04
[Abstract] Splenic artery steal syndrome (SASS) is a syndrome characterized by ischemia and hypoxic injury of hepatocytes and cholangiocytes caused by competition between splenic artery and hepatic artery for celiac trunk blood flow in patients with portal hypertension and hypersplenism. It is also one of the causes of graft dysfunction and death of recipients after liver transplantation. This article reviews the principles ......
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