急诊肝移植治疗急性肝功能衰竭伴腹腔感染1例报道并文献复习

Emergency liver transplantation for treatment of acute hepatic failure with severe abdominal infection:one case report and review of the literature

摘要: 目的:观察急诊肝移植治疗急性肝功能衰竭伴腹腔感染的疗效。方法:对例急性肝功能衰竭伴腹腔感染的患者行急诊肝移植的临床资料进行回顾分析,并复习相关文献。结果:移植术后患者肝功能恢复正常,感染控制。随访3.5年,肝功能正常,未发生排斥反应,能参加正常工作和学习。结论:严重感染不是肝移植的绝对禁忌证,急性肝功能衰竭伴严重腹腔感染者行肝移植手术可以获得满意的临床效果和生存质量。

Abstract: Objective:To evaluate the efficacy of emergency liver transplantation on patients with acute hepatic failure(AHF)accompanied by severe abdominal infection.Methods:The clinical data of acute liver transplantation of one patient with AHF and severe abdominal infection were analyzed retrospectively.Results:The liver function of the patient recovered and the infection was brought into control after liver transplantation.During the 3-year follow-up,the liver function of the patient returned to normal,and no rejection occurred;the patient was able to work and lived a normal life.Conclusions:Severe abdominal infection is not absolute contraindication of liver transplantation.The patient with AHF combined with severe abdominal cavity infection may achieve satisfactory effect and live a high quality of life by receiving liver transplantation.