论文部分内容阅读
本文报道一例4个月女性患者同种原位肝移植凝血象的变化。术前确诊为先天性胆管闭锁。术前除KPTT和凝血酶原时间延长外,余均在正常范围。“无肝期”主要表现为KPTT、凝血酶原时间延长,凝血酶时间延长并不被甲苯胺蓝所纠正,优球蛋白溶解时间缩短,纤维蛋白原、ⅧR:Ag和Ⅷ:C增多;术后3小时主要表现为纤维蛋白原、ⅧR:Ag和Ⅷ:C增多,而凝血酶原时间延长等改变恢复至正常范围。说明本例原位肝移
This article reports a case of 4-month female patients with the same kind of orthotopic liver transplantation coagulation phenomenon. Preoperative diagnosis of congenital biliary atresia. Preoperative except for KPTT and prothrombin time, the remaining in the normal range. “Ahepatic phase” is mainly manifested as KPTT, prolonged prothrombin time, prolonged thrombin time is not corrected by toluidine blue, euglobulin lysis time is shortened, fibrinogen, Ⅷ R: Ag and Ⅷ: C increased; surgery After 3 hours, the main manifestations of fibrinogen, Ⅷ R: Ag and Ⅷ: C increased, and prothrombin time and other changes back to the normal range. Explain the case of orthotopic liver transplantation