武警医学Issue(11)：1091-1092,1097,3.
双重血浆置换在 ABO 血型不合肝移植中的疗效观察
Clinical observation of double plasma exchange in liver transplantation in ABO blood group incompatibility
田二云 1宫静萍 2尹利华 1相学园1
作者信息
- 1. 100039 北京，武警总医院 综合楼重症医学科
- 2. 100039 北京，武警总医院 护理部
- 折叠
摘要
Abstract
Objective To investigate the therapeutic effect of double plasma exchange in the treatment of ABO incompatible liver transplantation.Methods The clinical data of 20 cases of ABO incompatible liver transplantation in this hospital were retrospec-tively analyzed were observed in double plasma exchange group and control group after 3 weeks of treatment.Illness prognosis was fol-lowed up after treatment for 3 months and influencing factors were analyzed.Results According to the laboratory test, after double plasma exchange treatment for 24 hours, 5 patients with receptor preoperative blood group antibody titer of 1∶32 showed stability in 1∶8 within 24 hours after the operation;3 patients with receptor preoperative blood group antibody titer of 1∶4 showed:stablitg in 1∶2 within 7 days after the operation;2 patients with reseptor of 1∶16, began to rebound after 2-3 months and then decreased and stabliized in 1∶8.According to the overall effect, in the treatment group of 10 patients, 8 cases were effective, an effective rate of 80%.In the control group, 10 cases (4) were effective, 5 cases (40%), 1 cases (10%) were discharged.The efficacy in the treatment group was significantly higher than that in the control group (P<0.05).Conclusions Double plasma exchange is an effective and reliable tech-nique for the treatment of different liver transplantation, which can improve the survival time of patients.关键词
双重血浆置换/ABO血型不合/肝移植Key words
double plasma exchange/ABO blood group incompatibility/liver transplantation分类
临床医学引用本文复制引用
田二云,宫静萍,尹利华,相学园..双重血浆置换在 ABO 血型不合肝移植中的疗效观察[J].武警医学,2015,(11):1091-1092,1097,3.
