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对40例胎龄6~10月死胎肝脏进行了原位解剖,10例胎肝进行引了门、脐静脉造影,并测定了20例新生儿脐静脉压。结果表明:①胎龄8月以上的胎肝作为0~2岁婴幼儿原位肝移植供体和成人辅助性异位肝移植供体,在解剖学上是可行的。②在胎肝移植中重建门静脉血供选择脐静脉较优越,但需结扎静脉导管。③在胎肝取材经门静脉或脐静脉灌洗时,压力不宜超过3.92kPa。④根据正常胎儿脐静脉压推测,胎肝可以耐受肝硬化门脉高压症病人的门脉压力。
40 cases of stillbirth from 6 to 10 days of gestational age were dissected in situ, 10 cases of fetal liver led to portal and umbilical venography, and 20 cases of neonatal umbilical venous pressure were measured. The results showed that: ① fetal liver more than gestational age of more than eight months as 0 ~ 2-year-old infants donor and adult donor heterotopic liver transplantation donor, anatomically feasible. ② in the fetal liver transplantation to reconstruct the portal vein for superior umbilical vein, but need to ligate the venous catheter. ③ fetus obtained by the portal vein or umbilical vein lavage, the pressure should not exceed 3.92kPa. ④ According to normal fetal umbilical venous pressure speculation, fetal liver can tolerate portal hypertension in patients with portal pressure.