veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
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Skąd: England
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 Wysłany: Wto 14:10, 15 Mar 2011 Temat postu: mbt scarpe drg yfd wyhh klu |
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Liver transplantation, intestinal transplantation,[link widoczny dla zalogowanych], and FK506
Reaction. CYA in the use of renal dysfunction in patients guillotine. Period of time after switching to FK, renal function worsened, and long-term after treatment, almost all cases, the creatinine level had decreased tendency. ② primary treatment if the August 1989-February 1990 FK 110 liver transplant back in 1987 l0 months to November 1988 CYA 325 liver transplantation were compared down, then see 1 year or 3-year survival rate In the FK group was 87.6, Sapporo. 0. CYA group 77,70, FK group advantage. Within 6 months after the death, FK group 7, CYA group 20. Mainly due to sepsis. Similar in the CYA group alcohol, sulfur azole exposure methotrexate, OKT, and other utilization and significantly increased usage, the authors believe that repeated use of these immune agents. The result is bound to cause infectious diseases. @ Randomized study of 154 back as sick for liver transplantation in FK and CYA randomized studies, showing that the median follow approximately 600 days,[link widoczny dla zalogowanych], survival in the FK group 9l, CYA group 88, the two groups but no significant difference} There was no holding back the pain of exclusion reaction, FK group accounted for 44, CYA group accounted for 9, FK group is clearly stronger, compared with the FK, CYA group of odd in a variety of immune agents and use the pain I fell much. Second, small bowel transplantation 1. Administration of maintenance therapy in small bowel transplantation method ① cases of immunosuppression in liver transplantation are the same. FK and alcohol use two similar drugs, patients continue the use of FK drip dose 0.1Smg/kg / day, 7 to 10 days after surgery by the organs to nutrition. Dose of 0,3 rag / kg. At the second oral administration. FK should be carried out immediately after the plasma levels were measured daily, within one month of its level remained at 2.0 ~ 3.0 ~ g / ml} lg pocket after intravenous methylprednisolone, similar to alcohol increased from 200mg oral gradually reduced to 40m8. 6th day after surgery to maintain the 20rag / day. To protect the liver and kidney. Cable Cars prostate sustainable E. Dose of 0.2 to 0.0 / hour. ② supplementary treatment of acute rejection Xi j by l ~ 2 times per week of clinical gastrointestinal endoscopic small intestinal biopsy in the diagnosis of London, about 95 patients with rejection. Which according to different levels and liver transplantation using the same replacement therapy. 2. Most pharmacological effects in patients with small bowel transplantation rejection after solid, resulting in decreased absorption of FK, many due to enteritis caused by CMV. To this end,[link widoczny dla zalogowanych], the administration of FK increased the amount. Normal bowel function transplantation, FK pharmacokinetic parameters and liver transplant patients is almost the same. 3. Small bowel transplantation in order to prevent side effects of holding exclusion reaction. Necessary to maintain slightly higher than the sick liver transplantation FK blood levels. To this end, there are also the end of surgery to place a boat barriers renal dialysis must be sick man, but except for one exception, all the other recovered. Infection is also a leading cause of death in patients with small bowel transplantation. 90 patients after surgery at least 1 times. 3.5 times the average risk of infectious diseases. Including bacterial infection, 79.2. 42.8 virus. Fungal infections accounted for I7.6, the incidence of liver transplant patients more than 2 times. Particular attention must be fungal infection, CMV infection rate was 39. From CMV-positive donor to negative recipient when a separate small bowel transplantation. Most patients at risk of exacerbations. This. It is generally do not mix. 4. CYA leaders before the results of 8 patients with small intestinal transplantation in patients with azole exposure of methotrexate by sulfur, similar to alcohol, ALG, such as thoracic duct bow 『hang immunosuppression treatment,[link widoczny dla zalogowanych], the longest survival of 76 days, and finally ended in failure. CYA 1987 were used in patients with abdominal whole organ transplantation, a fall had survived 192 days. Grant, and so do the second year of the liver, small bowel transplant combination in patients are still alive 1 down. Only 2 patients with small bowel transplantation alone guillotine survive, so with small-bowel transplantation CYA is difficult to be successful. The use of small bowel transplantation in FK were to have a difference. There were 59 patients, small bowel transplant. Small bowel transplantation alone 22 of them fell Id, intestines, liver transplantation while 26 fell within the whole organ transplantation abdominal l1 down. Major indications in the Cro adult disease,[link widoczny dla zalogowanych], thrombotic disease. I pediatric trauma in necrotizing enterocolitis, umbilical hernia, volvulus, chronic intestinal pseudo-self-l plug psychosis, all patients had preoperative intravenous nutrition a central venous TPN. Small intestine, liver transplantation at the same time, the use of intravenous TPN to prevent the occurrence of liver dysfunction. In addition, multiple organ transplantation, for celiac artery, superior mesenteric artery or portal vein thrombosis, which are a large number of cases or patients with a high degree of gastrointestinal disorders. Small bowel transplant survival one year accounted for 71.4 of total cases of effective small bowel transplantation in a separate account for 70I} small intestine, liver transplantation also accounted for
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