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題 名 | Emergent Orthotopic Liver Transplantation for Subfulminant Hepatic Failure: A Case Report=以緊急肝臟移植治療次猛爆性肝炎--病例報告 |
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作 者 | 謝奇勳; 葉俊男; 洪朝明; 鄭隆賓; 陳敏夫; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:5 民87.09-10 |
頁 次 | 頁308-313 |
分類號 | 416.246 |
關鍵詞 | 肝臟移植; 亞急性肝衰竭; Liver transplantation; Acute hepatic failure; Lamivudine; |
語 文 | 英文(English) |
中文摘要 | 雖然肝臟移植是治療急性肝衰竭的有效方法,但在國內由於器官來源有限,所以往往沒有適時的肝臟可供移植。本病例為26歲男性B型肝炎帶原者,因來院一週前逐漸發生嚴重黃疸至本院急診就醫,血清檢查為HBsAg (+),anti-HCV (-),HBeAg (-)。住院期間肝臟機能仍逐漸變壞,於10天後意識陷入半昏迷狀態,經診斷為肝硬化併次猛爆性肝衰竭。此時恰好有同血型肝臟捐贈者,進行緊急肝臟移植後病人迅速恢復健康。術後治療過程中使 cyclosporine, Azathioprine及prednisolone為免疫抑制劑,並用B型肝炎免疫球蛋白(HBIG)及Lamivudine來預防病毒再感染。本病例為一緊急肝臟移植治療急性肝衰竭的成功經驗。至今追蹤一年,病人情況良好,無肝炎再發現象。本篇同時討論臺灣地區實行肝臟移植之適應症候及標準。 |
英文摘要 | Finding a timely donor liver for patients with fulminant or subfulminant hepatic failure is very difficult in Taiwan. We report the case of a patient with hepatitis B related cirrhosis who underwent emergency liver transplantation following progressive neurological deterioration. The patient, a 26-year old male, had been diagnosed as having a hepatitis B infection 7 years before surgery. He had no follow-up until his admission to our hospital where he was found to have cirrhosis of the liver combined with acute hepatitis. Hepatitis marker study disclosed HBsAg (+), anti-HCV (-), and HBeAg (-). The patient's family refused interferon therapy. The patient became semicomatose within 10 days of admission. Total bilirubin level was markedly elevated at 35 mg/dl and prothrombin time was prolonged (International normalized ratio= 4.0). Fortunately, a donor with the same blood type was available and emergency orthototpic liver transplantation was performed two weeks after admission. We gave hepatitis B immunoglobulin (HBIG) 100 ml during the anhepatic phase and another 100 ml on the first postoperative day. We also perscribed the antiviral agent lamivudine 100 mg once preoperatively and 100 mg every day postoperatively for one year. Immunosuppressive agents mainly consisted of standard doses of cyclosporine, azathioprine and steroid. The patient recovered quickly and was discharged one month postoperatively with normal liver function and negative hepatitis B antigen. |
本系統中英文摘要資訊取自各篇刊載內容。