关键词: 小肠移植;活体供者;排斥反应;免疫治疗

    摘 要:目的 探讨活体小肠移植受体术后抗急性排斥反应的治疗经验. 方法 18岁短肠综合征患者接受活体小肠移植，按FK506+骁悉(MMF)+强的松龙联合用药方案给予免疫抑制治疗. 结果 术后一度平稳，手术1mo后药物减量，60d出现排斥反应现象，给予大剂量免疫抑制剂冲击治疗.治疗3d后症状消失，至今移植肠功能良好. 结论 小肠移植术后的抗免疫排斥治疗药物不宜过早减量，我们采用的抗急性排斥反应的治疗方案是成功而有效的.

    Management of posttransplant immunosuppression of clinical living┐related small bowel transplantation

    SONG Wei-Liang，WANG Wei-Zhong，WU Guo-Sheng，LING Rui，JI Gang，LI Meng-Bin，LIU Xiao-Nan

    Department of Gastrointestinal Surgery，Xijing Hospital，Fourth Military Medical University，Xi'an710033，China

    Keywords:small bowel transplantation;living donors;rejec-tion;immunotherapy

    Abstract:AIM To report the experience in management of posttransplant immunosuppression of the clinical living-relat-ed small bowel transplantation.METHODS An18-year-old boy with short gut syndrome underwent the living-related small bowel transplantation.The posttranplant immunosup-pession was initially with Tacrolimus ......