Near-infrared spectroscopy might be a useful tool for predicting the risk of vascular complications after pediatric liver transplants: Two case reports
Near-infrared spectroscopy might be a useful tool for predicting the risk of vascular complications after pediatric liver transplants: Two case reports
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DOI：
10.1111/petr.13089
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发表时间：
2018-02-01
影响因子：
1.3
通讯作者：
Takeuchi, Mamoru
中科院分区：
文献类型：
--
作者：
Shiba, Juntaro;Satoh, Masaaki;Takeuchi, Mamoru
在接受肝移植的患者中，肝移植物的血流的术后减少是一种严重的并发症。我们最近发现了一个有趣的现象，即我们发现在随后需要紧急肝活检的患者中，用NIRS测量的肝移植物的rSO（2）水平下降。一名8个月大的女性和一名8个月大的男性因胆道闭锁接受活体供肝移植。在这两种情况下，在需要进行紧急肝活检之前检测到rSO（2）降低。作为活检检查的结果，两名患者均被诊断为急性移植物排斥反应。近红外光谱可能是有用的移植物管理在术后期间接受肝移植的儿科患者。肝移植后，移植物rSO（2）的降低可能预示着血管并发症的发生。
In patients that have undergone liver transplants, a postoperative reduction in the blood flow of the liver graft represents a critical complication. We recently encountered an interesting phenomenon; that is, we found that the rSO(2) level of the liver graft, as measured by NIRS, drops in patients that subsequently require an emergency liver biopsy. An 8-month-old female and an 8-month-old male underwent living donor liver transplants for biliary atresia. In both cases, a reduction in rSO(2) was detected before an emergency liver biopsy was required. As a result of biopsy examinations, both patients were diagnosed with acute graft rejection. NIRS might be useful for graft management during the postoperative period in pediatric patients that undergo liver transplantation. After a liver transplant, a reduction in the rSO(2) of the graft might be indicative of the onset of vascular complications.