原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvd工具機 調機古代婦女皮膚老化
   
   
   
     
   
 
項次 書目
1
題名:Reactivation of Herpes Simplex Causing Submassive Hepatic Necrosis in a Liver Recipient     (10點)
肝移植術後因單純疱疹再發造成亞大片性肝壞死:病例報告
著者:Cheng-Maw Ho(何承懋) ;Juin-Ling Wang(王竣令) ;Sung-Ting Chen(陳松廷) ;Yao-Ming Wu(吳耀銘) ;Ming-Chih Ho(何明志) ;Rey-Heng Hu(胡瑞恆) ;Hui-Ji Su(許輝吉) ;Po-Huang LEE(李伯皇)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:herpes simplex ; submassive hepatic necrosis ; liver transplantation ; acyclovir
刊名:Formosan journal of surgery
卷期:41卷1期(2008.2)
頁碼:15-19
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

肝移植病人因庖疹病毒引發次發性大片肝壞死而存活者很少。一位四十八歲因B型肝炎肝硬化而接受活體肝移植的病人,在術後兩個月時,因持續進行性黃膽而再次入院檢查。少量血液中B型肝炎病毒突變的發現,但病人對藥物的反應不佳。先後相隔兩個月的再次肝組織切片檢查才證實是第一型疱疹病毒引起的肝衰竭。血清學的檢查在術前術後都呈陽性,顯示是再發的病毒感染。長期投予靜脈注射acyclovlr後,病人的肝功能才漸漸回到正常。回顧第一次的檢體,採用特殊免疫染色和RT-PCR技術皆無法偵測到庖疹病毒。病人也沒有典型水皰、白血球及血小板減少的現象。因此盡早診斷很重要,但非常不容易。臨床上不確定的情況下,隨時要重新評估並作出適當的治療決定才不會延誤病情。
Survival from herpes simplex virus (HSV)-induced submassive hepatic necrosis in a liver recipient is rare. A 48-year-old man, with underlying HBV-related liver cirrhosis underwent living-related liver transplantation, had progressive hyperbilirubinemia and hepatic failure which occurred 2 months after surgery. Small amounts of YMDD mutated HBV DNA were found in serum but the patient responded poorly to lamivudin plus adefovir. Two sequential liver biopsies were performed and only the second one was characteristic of submassive hepatic necrosis with a Cowdry type I intranuclear inclusion body, which was confirmed to be HSV type I infection by immunohistochemistry. Retrospective immuno-staining and DNA detection by real time PCR of the first specimen were both negative. Serologic antibody titers were positive pre-and post-operatively. Intravenous acyclovir was administered and the liver function dramatically recovered. There were no clinical signs of oral or genital reactivation of HSV, fever, leucopenia, or thrombocytopenia. Early diagnosis was vital but difficult. Reevaluation and therapeutic decisions should not be delayed in clinically undetermined situations.


    

本卷期目次
Formosan journal of surgery 41卷1期 (2008.2)
精確定位於經椎莖骨釘植入導航手術之重要性/ 蘇豐文李道?呂?中丁于齡王宏振林宥潤蘇宗明
The Importance of Meticulous Registration during Spinal Navigation for Pedicle Screw Placement/ Feng-Wen SuTao-Chen LeeChun-Chung LuiYu-Ling TingHung-Chen WangYu-Jun LinThung-Ming Su
Reactivation of Herpes Simplex Causing Submassive Hepatic Necrosis in a Liver Recipient/ Cheng-Maw HoJuin-Ling WangSung-Ting ChenYao-Ming WuMing-Chih HoRey-Heng HuHui-Ji SuPo-Huang LEE
肝移植術後因單純?疹再發造成亞大片性肝壞死:病例報告/ 何承懋王竣令陳松廷吳耀銘何明志胡瑞恆許輝吉李伯皇
腸胃道外間質細胞瘤:二病例報告/ 陳怡如吳誠中葉大成鄭紹彬楊?順
Extra-gastrointestinal Stromal Tumor: Report of Two Cases/ Yi-Ju ChenCheng-Chung WuDah-Cheng YehShao-Bin ChengChii-Shuenn Yen
巨大的雙側乳房多發性葉狀肉瘤:病例報告/ 涂啟文江慶鐘蘇振賢
Bilateral Multiple Phyllodes Tumors of the Breast, "Giant" on One Side: Report of a Case/ Chi-Wen TuChing-Chung ChiangChen-Hsien Su
原發性攝護腺鱗狀上皮癌:病例報告/ 蔡秉儒余家政王志生吳東霖黃榮慶
Primary Squamous Cell Carcinoma of the Prostate: Report of a Case/ Ping-Ju TsaiChia-Cheng YuJyh-Seng WangTony T WuJong-Khing Huang
使用血小板纖維蛋白膠在兔子腰椎橫突間融合手術之效果/ 林松俊謝時鵬溫志宏杜杰憲洪慶憲唐紀絜李心白簡言軒
The Effect of Platelet Gels on Lumbar Intertransverse Process Spinal Fusion in a Rabbit Model/ Sung-Chun LinShih-Peng HsiehZhi-Hong WenChieh-Hsien TuChieng-Hsien HungChi-Chieh TangHsin-Pai LeeYen-Hsuan Jean
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.