中国医学创新Issue(4)：92-93,94,3.DOI:10.3969/j.issn.1674-4985.2013.04.057
1例小肠移植术后感染的观察与治疗
Monitoring and Treatment of Posttransplant Infection after Intestinal Transplantation with a Case Report
摘要
Abstract
Objective:The observation and treatment of infection in the small intestine transplant will be explored in this article.Method:The recipient(a forty-seven-years-old man)received small intestinal graft following thrombus of arteriae mesenterica superior leading to intestinal resection,and the indication of intestinal transplantation was short-bowel syndrome and repeat catheter-related infection. The anastomosis of the side of the recipient’s abdominal aorta and donor’s superior mesenteric artery with continuous 5-0 prolene suture were performed,as well as the side of the recipient’s abdominal vena cava and donor’s superior mesenteric vein.Following that,the proximal jejunum of the donor was anastomosed end-to-end to the proximal part of recipient’s jejunum and the distal end of graft ileum was exteriorized as a stoma.Immuno-induction consisted of basiliximab, thymoglobulin and methyllprednisolone,and then the recipient received tacrolimus,mycophenolate,and corticosteroids to maintain immunosuppression. Result:Pulmonary infection occurred 2 weeks after intestinal transplantation has been controlled gradually by using cefpirome,voriconazo,and linezolid at 41st day postoperation.Conclusion:Sufficient infusion to shorten warm ischemia period play an important role in successfully intestinal transplantation. Posttransplant infection can be controlled with isolation and effectively using antibiotics.关键词
小肠移植/术后感染/并发症/治疗Key words
Intestinal transplantation/Postoperative infection/Complication/Treatment引用本文复制引用
陈国勇,赵会博,王冰,袁振华,周翰宗,赵明海,季节,魏思东,孙建军,谢占涛,徐化恩,陈永峰,汤高枫,陈建斌,蒋进发..1例小肠移植术后感染的观察与治疗[J].中国医学创新,2013,(4):92-93,94,3.基金项目
河南省科技攻关计划项目(编号:092102310347) （编号:092102310347）
