CAJ | 학술논문

目的观察乙肝相关性肝衰竭患者接受同种异体原位肝移植(OLT)后的早期效果。方法对34例接受肝移植的乙肝肝衰竭患者进行随访，观察患者术后生存情况及并发症。结果本组34例患者围手术期(术后30d)内死亡2例，1年生存率91.18%(31/34)。术后早期并发症包括：感染、精神症状、排斥反应、急性肾损伤、急性呼吸窘迫综合症、消化道出血和移植物抗宿主病。远期并发症包括：胆道并发症、乙肝复发和机会性感染。结论肝移植是治疗乙肝相关性肝衰竭的有效手段。
목적관찰을간상관성간쇠갈환자접수동충이체원위간이식(OLT)후적조기효과。방법대34례접수간이식적을간간쇠갈환자진행수방，관찰환자술후생존정황급병발증。결과본조34례환자위수술기(술후30d)내사망2례，1년생존솔91.18%(31/34)。술후조기병발증포괄：감염、정신증상、배척반응、급성신손상、급성호흡군박종합증、소화도출혈화이식물항숙주병。원기병발증포괄：담도병발증、을간복발화궤회성감염。결론간이식시치료을간상관성간쇠갈적유효수단。
Objective To explore the characteristics and diagnosis thinking of treating patients of acute non traumatic abdominal pain in emergency surgery department of primary hospital. Methods Retrospectively analyze the clinical data of 220 cases of acute non traumatic abdominal pain diagnosed in our hospital from October 1, 2013 to February 1, 2015 in emergency surgery department. Results The patients according subject were divided into 162 cases (73.6%) of surgical abdominal pain, 30 cases (13.6%) of internal medicine abdominal pain, 15 cases (6.8%) of gynecologic abdominal pain and 13 cases (6%) of other types of abdominal pain . According to the cause of disease, the front four high incidence rate of abdominal pain was acute appendicitis, urinary calculus, biliary diseases and acute gastroenteritis, respectively 62 cases, 49 cases, 35 cases, 18 cases, accounting for 74.5%of the total numbers. 2 cases were misdiagnosed, misdiagnosis rate was 0.9%. There were 0 deaths. The common auxiliary examination included blood examination, routine urine examination, stool routine examination, biochemical examination and blood coagulation function examination, abdominal ultrasound, X-ray examination, electrocardiogram, abdominal CT examination. Conclusion Primary surgeon must have rigorous thought in diagnosis of diseases and solid treatment technology, be good at changing the traditional thinking way of pain for evidence-based thinking, make the serious patients with acute abdominal pain prejudged early and timely and immediately give a reasonable treatment to avoid delay an il ness.