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Fibrinolysis after reperfusion of liver graft

机译:肝移植物再灌注后的纤维蛋白溶解

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From September 2012 to March 2013, a total of 63 adult-to-adult living donor liver transplantations were performed at our institution. All the patients were monitored for their coagulation functions using rotation thromboelastometry (ROTEM, Tem Innovations GmbH) during the procedure at the following points: preoperative baseline, 5 minutes, 30 minutes, and 120 minutes, respectively, after reperfusion of the liver graft. A total of 84.13% of cases (n = 53) revealed fibrinolysis after reperfusion of the graft and the condition was reversed after 30 minutes without any need for additional treatment. No significant coagulopathy was observed during this period in all of the cases. The result of the ROTEM finding must correlate with the clinical situation before instituting any management to avoid the risk of thrombosis of the hepatic artery.
机译:从2012年9月到2013年3月,我们机构共进行了63次成人到成人活体肝移植。在手术过程中,在以下几点使用旋转血栓弹力测定法(ROTEM,Tem Innovations GmbH)监测所有患者的凝血功能,分别为:肝移植物再灌注后的术前基线,分别为5分钟,30分钟和120分钟。共有84.13%的病例(n = 53)在移植物再灌注后显示纤维蛋白溶解,且30分钟后病情得以逆转,无需进一步治疗。在此期间,所有病例均未观察到明显的凝血病。在采取任何措施以避免肝动脉血栓形成的风险之前,ROTEM发现的结果必须与临床情况相关。

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