CAJ | 학술논문

采用全血细胞计数监测和彩色多普勒超声断层的方法对两例因肝硬化合并门脉高压脾功能亢进而行同种异体原位肝移植术的患者进行了临床观察.全血细胞计数监测显示:与术前相比,红细胞计数在术后一个月之内未见明显改善,一个月之后逐渐恢复近于正常.术后13天白细胞计数和血小板计数恢复至正常范围.彩色多普勒超声断层检查结果表明:术前门、脾静脉口径显著扩张,血流速度缓慢,肝静脉口径相应缩小,血流量减少,脾脏体积显著增大.术后门、脾静脉口径逐渐缩小,肝静脉扩张,各血管的血流速度显著加快(两倍以上),1个月后各血管口径和血流速度虽然近于正常,但脾脏体积仍持续高值.
채용전혈세포계수감측화채색다보륵초성단층적방법대량례인간경화합병문맥고압비공능항진이행동충이체원위간이식술적환자진행료림상관찰.전혈세포계수감측현시:여술전상비,홍세포계수재술후일개월지내미견명현개선,일개월지후축점회복근우정상.술후13천백세포계수화혈소판계수회복지정상범위.채색다보륵초성단층검사결과표명:술전문、비정맥구경현저확장,혈류속도완만,간정맥구경상응축소,혈류량감소,비장체적현저증대.술후문、비정맥구경축점축소,간정맥확장,각혈관적혈류속도현저가쾌(량배이상),1개월후각혈관구경화혈류속도수연근우정상,단비장체적잉지속고치.
By using color Doppler ultrasonography and blood cell counter, the recovery of blood cell counts and hypersplenism in 2 patients, undergoing orthotopic liver transplantation, who were diagnosed having hepatocirrhosis with portal vein hypertension and congestive splenomegaly before the transplantation were clinically observed.It was found that one month af-ter the transplantation, the RBC count gradually returned to normal.13 days after transplanta-tion, WBC count and the platelet count returned to normal.Before transplantation, dilated portal and splenic veins with slow blood flow, and increased spleen volume were observed, while hepatic vein was smaller than normal with recurred blood flow.After transplantation, the size of both portal and splenic veins was reduced gradually, but the size of hepatic vein increased and the veloc-ity of blood flow in these veins increased by more than 200%.One month after transplantation, the size and the blood flow of these veins were close to normal, but there was no significant change in the spleen volume which was still higher than normal.