查詢結果分析
相關文獻
- Histopathology of the Liver in Pediatric Patients Following Transplantation
- Experience of Using FK 506 as a Rescue Therapy for Refractory Hepatic Allograft Rejection
- Emergent Orthotopic Liver Transplantation for Subfulminant Hepatic Failure: A Case Report
- 肝臟移植的演進--從全肝移植、縮小肝移植、活體肝移植到分割肝移植
- 屏東縣水禽傳染性漿膜炎之調查研究﹣﹣關於病原分離、肉眼及組織病理學變化、血清凝集抗體分析調查
- 肝臟移植概論
- 肝臟移植概論
- 中國人耳硬化症鐙骨之組織病理學觀察
- A Useful Technique for Both Allogenic and Xenogenic Orthotopic Liver Transplantation in Rats
- Prognostic Evaluation in Supratentorial Astrocytic Tumors Using P53, Epidermal Growth Factor Receptor, C-Erb B-2 Immunostaining
頁籤選單縮合
題 名 | Histopathology of the Liver in Pediatric Patients Following Transplantation=小兒科病患肝臟移植後之組織病理學 |
---|---|
作 者 | 邢福柳; 陳肇隆; 陳維仁; 陳耀森; 江原正; 鄭汝汾; 黃棟樑; 劉伯屏; 姚文聲; 張克儉; 李寧; 黃崇濱; 王植熙; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 38:4 民86.07-08 |
頁 次 | 頁260-266 |
分類號 | 417.6245 |
關鍵詞 | 小兒科病患; 肝臟移植; 組織病理學; Liver transplantation; Pediatric; Liver pathology; |
語 文 | 英文(English) |
英文摘要 | Recognition of rejection and other hepatic complications by needle biopsy plays a significant role in the management of liver allograft recipients. In this report, 22 pediatric patients (below 18 years old) were selected from the 37 liver transplants. Seven of the 22 cases have an uneventful posttransplant course. The most common cause of allograft injury in these patients appeared to be acute cellular rejection. It occurred in 7 (31.8%) of the 22 cases and was the primary process in 8 of the 25 episodes of liver dysfunction. Other etiologies, such as opportunistic viral infection (3 cases), biliary obstruction (2 cases), preservation injury (1 case), and vascular obstruction (1 case) were less common. Acute graft rejection causing liver dysfunction was associated with a mixed portal inflammation, destruction of the interlobular bile ducts, and varied degree of venous endotheliitis, followed by centrilobular hepatocyte necrosis. Chronic rejection was not seen in our pediatric cases. Cold ischemic injury causing transient graft dysfunction as seen in one of our patients demonstrated focal, limitted areas of hepatocyte necrosis, mild centrilobular hepatocyte ballooning, and cholestasis without evidence of bile duct damage. More severe ischemic injury resulted from vascular complication causing diffuse hepatocyte necrosis was seen in one patient with hepatic vein thrombosis. The histologic patterns observed were not pathognomic; however, liver biopsies were helpful in suggesting the probable cause of liver dysfunction and in predicting subsequent allograft recovery when used in conjunction with clinical information, radiologic, and other laboratory tests. |
本系統中英文摘要資訊取自各篇刊載內容。