【關鍵詞】 肝移植；脾功能亢進；移植物排斥；血小板；肺部感染
Treatment of hypersplenism in perioperation of liver transplantation
【Abstract】AIM: To observe the changes in hypersplenism after orthoto METHODS: Splenectomy or splenic artery ligation was performed on 15(group A) of the consecutive 115 patients undergoing OLT in 5 years, before OTC in 11 of them and during OTC in 4 of them. Sixtyeight randomly selected agematched patients undergoing OTC within the same period but without splenectomy or splenic artery ligation were used as controls (group B). Acute rejection rate , blood PLT count, incidence of lung infection and PVF/HAF（portal venous flow/ hepatic arterial flow） were calculated and analyzed. RESULTS: Lung infaction rate of group A was 85%, significantly higher than that of group B (54%, P