5 Mar 2020

간이식 Liver transplantation

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간이식 Liver transplantation

  • 간 이식에는 분리 간이식, 전체 간 이식과 일부 간 이식 등이 있다. 
  • 미국서 1991년 생존자 우 간엽 간 이식수술을 2931명에게 실시했고 1999년에는 4480명에게 이식 수술을 실시했다고 한다. 
  • l991년 이식용 간 기증자들을
  • 찾는 소요 기간은 평균 65일이었고 1998년에는 514일이었다고 한다.
  • 1989년에 생 간이식이 처음으로 성공했고, 1994년에는 생 좌 간엽 이식 수술을 일본에서, 1997년에 미국에서 생 우 간엽 이식수술을 성공적으로 했다.
  • 요즘 신생아기에서 사춘기에 이르기까지 소아청소년들과 성인들이 간 이식 수술 치료가 필요하면 간 이식수술을 받아서 치료할 수 있다는 연구가 오하이오 레인보우 소아청소년과 병원에서 최근에 보고했다.
  • 참고로, 간 이식 수술치료를 받은 후 b형 감염이 발생할 수도 있다.

출처 및 참조문헌

  • www.uhhs.com
  • www.rainbowbabies.org Pediatric update
  • University Hospital Health System
  • Rainbow babies and Children Hospital

166.jpg

그림 247. 간, 담관과 그 주위 기관들

a-간, 

b-담낭,

c-십이지장 유두(담즙과 췌장액이 십이지장관 속으로 분비되는 출구),

d-좌부신,

e-좌 신장,

f-지라,

g-십이지장,

h-췌장,

i-총수담관,

j-혈관,

R-우엽의 간

Lᐨ 좌엽의 간,

C-는 유미 엽의 간.

CopyrightⒸ 2011 John Sangwon Lee, MD., FAAP

 

Liver transplantation 간이식

• Liver transplants include separate liver transplants, whole liver transplants and partial liver transplants.

• In the United States, 2931 survivors had a right mesenchymal liver transplantation in 1991, and 4480 people in 1999 had a transplant.

• l991 transplant liver donors

• It is said that the average search time was 65 days and in 1998 it was 514 days.

• Live liver transplantation was first successful in 1989. Live left lobe transplantation was performed successfully in Japan in 1994 and in the United States in 1997.

• A study recently reported by Rainbow Pediatrics Hospital, Ohio, showing that children and adults from neonatal to puberty can receive a liver transplant if they need it.

• For reference, hepatitis b infection may occur after undergoing liver transplant surgery. Sources and references

• www.uhhs.com

• www.rainbowbabies.org Pediatric update

• University Hospital Health System

• Rainbow babies and Children Hospital

166.jpg

Figure 247. Liver, bile ducts and surrounding organs a-liver, b-gallbladder, c-duodenal papule (exit where bile and pancreatic juice are secreted into the duodenal duct), d-left adrenal gland, e-left kidney, f-spleen, g-duodenum, h-pancreas, i-common bile dudt, j-blood vessel, R-right lobe liver Lᐨ left lobe liver, C- The liver lobe. CopyrightⒸ 2011 John Sangwon Lee, MD., FAAP

출처 및 참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy Pediatrics
  • www.drleepediatrics.com제7권 소아청소년 감염병
  • www.drleepediatrics.com제9권 소아청소년 소화기 질환
  •  Red book 29th-31st edition 2021
  • Nelson Text Book of Pediatrics 19th — 21st Edition
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 22nd edition
  • Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
  • Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
  • Emergency care, Harvey grant, and Robert Murray
  • Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
  • The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
  • Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
  • Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
  • Manual of Emergency Care
  • 응급환자관리 정담미디어
  • 소아가정간호백과–부모도 반의사가 되어야 한다, 이상원
  • Neonatal Resuscitation American heart Association
  • Neonatology Jeffrey J.Pomerance, C. Joan Richardson
  • Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
  • Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
  • Preparation for Birth. Beverly Savage and Dianna Smith
  • Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
  • The Harriet Lane Handbook 19th Edition
  • 소아과학 대한교과서
  • 제1권 소아청소년 응급의료 참조문헌과 출처
  • Other

Copyright ⓒ 2015 John Sangwon Lee, MD., FAAP

“부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances. “Parental education is the best medicine.”