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广州5岁女童过世后捐出肝脏 一分为二救活2名婴儿

2017-09-02 17:20:56   中国青年网

(原标题:广州5岁女童过世捐出肝脏,一分为二救活两名几个月大婴儿)

专家在手术中。

南都讯 记者阳广霞 实习生熊雅婷 通讯员江澜 杨攀 从此“同肝同苦”!5岁女童去世后大爱捐肝,肝脏一分为二,移植给两位濒危的肝病宝宝,记者从中山大学附属第三医院肝移植中心(岭南医院)了解到,这是全国报道的首例儿童供肝的劈离式肝移植。

两个“小黄人”亟待肝脏移植

在中山三院的肝胆外科病房,7个月大的小杰好奇地打量着一切,妈妈抱着他,红了眼圈。而在同一个病房,8月大的“小病友”小炜睡得香香甜甜。

小杰来自广东茂名,出生后不久,父母就发现他全身蜡黄,在当地医院诊断为“胆道闭锁”,这意味着,他的胆汁无法排到肠道。中山三院肝脏移植中心易述红教授介绍,胆道闭锁是儿童肝移植最常见的适应症,达90%,在我国发生率为1/5000-8000人,严重影响婴儿生命。

在中山三院检查发现,小杰肝功能恶化明显,指标偏离正常,有严重的胆汁淤积性肝硬化,脾脏肿大和大量腹水,7公斤重的他,肝移植是唯一的治疗手段。

同样受病痛折磨的,还有小炜。虽然比小杰大一个月,但由于长期疾病的消耗,严重营养不良,小炜胳膊大腿瘦得没肉了,体重还比小杰轻,只有6.5公斤,部分指标超过正常的15倍,影像检查同样提示严重的胆汁淤积性肝硬化,中等量的腹水。两个宝宝皮肤蜡黄,肚皮鼓鼓,像两个“小黄人”。

由于两个家庭的特殊情况不能做亲体肝移植,时间一天一天过去,父母心急如焚。“若再不移植,过几天就没了。”肝移植中心的医生们也想尽一切办法来尽力维护这两个小小婴儿的生命。

“新肝”一分为二 移植给两个肝病宝宝

就在8月10日,中山大学附属第三医院OPO联盟医院传来一个消息,有个5岁的女童因外伤而脑死亡,身后大爱捐献肝脏。

时间紧迫,在供肝获取前没法进行细致肝脏ct检查情况下,肝移植中心的专家们凭借丰富经验,迅速对捐献女童的肝脏进行了评估,设计了手术方案,肝脏的体积适合一分为二,右半肝给小杰,左半叶给小炜。肝脏移植中心副主任张彤介绍,5岁儿童的肝脏约相当于成人的1/2重,即使只有半肝,也远远超出小杰体重适宜的肝脏体积,手术也要对右半肝进行精准“裁剪”,确保移植后能正常工作。

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