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Uncommon Etiology for a Rare Post-Transplant Esophago-Lymphatic Fistula 罕见移植后食道淋巴瘘的罕见病因。
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-03-04 DOI: 10.1016/j.transproceed.2025.02.014
Ahmed A. Amin, Ehab Abufarhaneh, Tariq Ali, Ali M. Shendi, Dieter Broering
{"title":"Uncommon Etiology for a Rare Post-Transplant Esophago-Lymphatic Fistula","authors":"Ahmed A. Amin,&nbsp;Ehab Abufarhaneh,&nbsp;Tariq Ali,&nbsp;Ali M. Shendi,&nbsp;Dieter Broering","doi":"10.1016/j.transproceed.2025.02.014","DOIUrl":"10.1016/j.transproceed.2025.02.014","url":null,"abstract":"<div><div>Esophageal tuberculosis (TB) is a rare finding, and esophageal TB fistulas are even rarer. In general, esophageal fistulas are an uncommon finding in everyday practice, but it is frequently seen in advanced endoscopy centers. It can be either congenital or acquired. The acquired type is most commonly a complication of advanced mediastinal malignancy. Other etiologies include trauma, radiation, infections, surgery, aortic aneurysms, or esophageal stents. The most common type of esophageal fistulas is trachea-esophageal. Other types include esophago-aortic, esophago-lymphatic, and esophago-respiratory (other than trachea). The diagnosis is usually made by imaging (barium studies, computed tomography [CT], and magnetic resonance imaging) and endoscopy. Endoscopy is vital in confirming the site of the fistula, assessing the extent, obtaining tissue for histopathologic diagnosis, and, in selected cases, providing therapeutic options. TB esophageal fistulas are diagnosed by endoscopy and biopsy, and the treatment is usually pharmacological.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 442-444"},"PeriodicalIF":0.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrence of Myopathy After Liver Transplantation for Patients With End-Stage GSD Type IIIa
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-03-03 DOI: 10.1016/j.transproceed.2025.02.005
He Wang , Wei Qu , Ying Liu , Liang Zhang , En-Hui He , Zhi-Jun Zhu , Li-Ying Sun
{"title":"Recurrence of Myopathy After Liver Transplantation for Patients With End-Stage GSD Type IIIa","authors":"He Wang ,&nbsp;Wei Qu ,&nbsp;Ying Liu ,&nbsp;Liang Zhang ,&nbsp;En-Hui He ,&nbsp;Zhi-Jun Zhu ,&nbsp;Li-Ying Sun","doi":"10.1016/j.transproceed.2025.02.005","DOIUrl":"10.1016/j.transproceed.2025.02.005","url":null,"abstract":"<div><h3>Background</h3><div>Glycogen storage disease (GSD) is an inherited metabolic disorder affecting glycogen metabolism. The overall incidence of GSD is estimated to be 1 in every 20,000 to 43,000 newborns. GSD is classified into 12 types based on the enzyme deficiency and the tissues affected. Disorders in glycogen degradation may primarily impact the liver, muscles, or both.</div></div><div><h3>Results</h3><div>In this case report, we discuss a patient with end-stage liver disease due to GSD IIIa who was treated with liver transplantation. Following liver transplantation, the patient's cirrhosis was cured. Six years post-surgery, the patient developed elevated creatine kinase levels without any obvious cause, along with occasional lower limb weakness after exertion. Muscle biopsy revealed pathological changes consistent with vacuolar myopathy.</div></div><div><h3>Conclusions</h3><div>Liver transplantation does not fully cure glycogen storage disease type IIIa myopathy, necessitating ongoing postoperative follow-up with regular creatine kinase monitoring and other laboratory assessments.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 475-480"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rescue Transplant Renal Artery Stenting With Off Label Advanta V12 Covered Stent for Extrarenal Pseudoaneurysm: A Case of Renal Graft Dysfunction Due to Pseudomonas Septicemia
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.transproceed.2025.02.016
Rasmiranjan Padhi , Virag Sanjay Shethna , Jagadeesan Dhanasekaran , S Goutham , Madhava Rao , KS Vengetesh
{"title":"Rescue Transplant Renal Artery Stenting With Off Label Advanta V12 Covered Stent for Extrarenal Pseudoaneurysm: A Case of Renal Graft Dysfunction Due to Pseudomonas Septicemia","authors":"Rasmiranjan Padhi ,&nbsp;Virag Sanjay Shethna ,&nbsp;Jagadeesan Dhanasekaran ,&nbsp;S Goutham ,&nbsp;Madhava Rao ,&nbsp;KS Vengetesh","doi":"10.1016/j.transproceed.2025.02.016","DOIUrl":"10.1016/j.transproceed.2025.02.016","url":null,"abstract":"<div><div>Among the vascular complications in post-renal transplant recipients, extrarenal pseudoaneurysms are extremely rare &lt; 1%, but can cause allograft loss and mortality. The most common cause of mycotic pseudoaneurysm is fungal followed by bacterial. Among the bacteria, pseudomonas aeruginosa is the most com`mon organism. The treatment of extrarenal pseudoaneurysms are individualized and transplant nephrectomy is the gold standard for definitive treatment but with the expense of allograft loss. In hemodynamic instability, endovascular prosthesis has become the first choice for salvaging the renal allograft. We present a case of transplant renal artery (TRA) mycotic pseudoaneurysm in the setting of pseudomonas septicemia presented with allograft dysfunction 42 days post-renal transplant, successfully salvaged with endovascular technique using the Advanta V12 covered stent.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 464-467"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Report: A Unique Case of Hemophagocytic Lymphohistiocytosis in Heart Transplant 病例报告:心脏移植中嗜血细胞淋巴组织细胞增多症的独特病例。
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-28 DOI: 10.1016/j.transproceed.2025.02.021
Boaz Elad , Wojciech Rzechorzek , Kelly Axsom , Justin Fried , Farhana Latif , Adil Yunis , Carolyn Hennecken , Rubin Salazar , Kyung T. Oh , David L. Diuguid , Andrew H. Lipsky , Ron S. Gejman , Gabriel Sayer , Nir Uriel , Dor Lotan
{"title":"Case Report: A Unique Case of Hemophagocytic Lymphohistiocytosis in Heart Transplant","authors":"Boaz Elad ,&nbsp;Wojciech Rzechorzek ,&nbsp;Kelly Axsom ,&nbsp;Justin Fried ,&nbsp;Farhana Latif ,&nbsp;Adil Yunis ,&nbsp;Carolyn Hennecken ,&nbsp;Rubin Salazar ,&nbsp;Kyung T. Oh ,&nbsp;David L. Diuguid ,&nbsp;Andrew H. Lipsky ,&nbsp;Ron S. Gejman ,&nbsp;Gabriel Sayer ,&nbsp;Nir Uriel ,&nbsp;Dor Lotan","doi":"10.1016/j.transproceed.2025.02.021","DOIUrl":"10.1016/j.transproceed.2025.02.021","url":null,"abstract":"<div><div>Hemophagocytic lymphohistiocytosis (HLH) is a rare and deadly disease that presents significant diagnostic challenges. The complexity of diagnosis and treatment is further increased among transplant recipients, yet reports on solid organ transplants, and specifically heart transplant recipients, remain scarce. Herein, we elucidate the diagnostic journey, clinical evolution, and therapeutic approach undertaken for a heart transplant recipient afflicted with hemophagocytic lymphohistiocytosis, followed by a review of the literature.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 481-484"},"PeriodicalIF":0.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Drip Infusion Cholangiography With Computed Tomography to Identify the Duct of Luschka in Living-Donor Hepatectomy: A Case Report
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-28 DOI: 10.1016/j.transproceed.2025.02.010
Yuki Bekki, Shinji Itoh, Takeo Toshima, Tomoharu Yoshizumi
{"title":"Preoperative Drip Infusion Cholangiography With Computed Tomography to Identify the Duct of Luschka in Living-Donor Hepatectomy: A Case Report","authors":"Yuki Bekki,&nbsp;Shinji Itoh,&nbsp;Takeo Toshima,&nbsp;Tomoharu Yoshizumi","doi":"10.1016/j.transproceed.2025.02.010","DOIUrl":"10.1016/j.transproceed.2025.02.010","url":null,"abstract":"<div><div>The Duct of Luschka represents a rare form of accessory biliary ducts. There are no reported cases of the Duct of Luschka in living donor hepatectomy. We report a 36-year-old man with the Duct of Luschka who underwent living-donor hepatectomy. Preoperative drip infusion cholangiography with computed tomography (DIC-CT) identified the Duct of Luschka originating from the right hepatic duct to the cystic duct. By choosing the left and caudate lobe hepatectomy, the Duct of Luschka was left intact during the procedure. The donor recovered uneventfully posthepatectomy, and the recipient also did not experience biliary complications. This case underscores the importance of preoperative DIC-CT and surgical planning, including graft selection, to prevent postoperative bile leaks.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 472-474"},"PeriodicalIF":0.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.019
Meijia Li, Xiaodong Xu, Xia Yan
{"title":"Narrative Nursing for a Patient Who Experienced Treatment Failure After Allogeneic Hematopoietic Stem Cell Transplantation and Underwent Two Subsequent Transplants: A Case Report","authors":"Meijia Li,&nbsp;Xiaodong Xu,&nbsp;Xia Yan","doi":"10.1016/j.transproceed.2025.02.019","DOIUrl":"10.1016/j.transproceed.2025.02.019","url":null,"abstract":"<div><div>To summarize the nursing experience of a patient who underwent a second transplantation after the failure of the first allogeneic hematopoietic stem cell transplantation. The patient received personalized narrative nursing care through externalization, deconstruction, rewriting, and reshaping to improve treatment and nursing compliance and to assist in symptom management. Additionally, narrative nursing was applied to provide psychological counseling to the primary caregiver, helping both the patient and their family to establish confidence in overcoming the disease. After careful narrative nursing and symptom management, the patient's white blood cells were successfully engrafted after 57 days of hospitalization, allowing for a smooth transition out of the clean laminar flow ward. After 8 days of treatment in a general ward, the patient's own hematopoiesis recovered, and symptoms such as oral mucositis, nausea, vomiting, and hemorrhagic cystitis improved, leading to a successful discharge. Narrative nursing has a supportive role for patients undergoing a second allogeneic hematopoietic stem cell transplantation and their primary caregivers. It is recommended that future studies construct relevant programs to provide theoretical support for the application of narrative nursing in clinical care.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 502-507"},"PeriodicalIF":0.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stable Outcome After Living Donor Kidney Transplantation Using External Urinary Fistula for a Kidney Graft With Duplicate Ureters: A Case Report 使用尿道外瘘为双输尿管肾移植进行活体肾移植后的稳定结果:病例报告。
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.017
Hiroyuki Kumata, Kengo Asami, Tomoaki Tabata, Satoshi Sekiguchi
{"title":"Stable Outcome After Living Donor Kidney Transplantation Using External Urinary Fistula for a Kidney Graft With Duplicate Ureters: A Case Report","authors":"Hiroyuki Kumata,&nbsp;Kengo Asami,&nbsp;Tomoaki Tabata,&nbsp;Satoshi Sekiguchi","doi":"10.1016/j.transproceed.2025.02.017","DOIUrl":"10.1016/j.transproceed.2025.02.017","url":null,"abstract":"<div><h3>Background</h3><div>A kidney with a duplicate ureter used as a graft in kidney transplantation poses a concern about the risk of suture failure at the ureterovesical anastomosis. Many institutions attempted to reduce complications by placing internal fistula stents, such as Double J Stents, at the anastomotic site. We actively place external fistula catheters in these high-risk cases at our hospital.</div></div><div><h3>Case presentation</h3><div>A 65-year-old male patient developed chronic renal failure due to diabetic nephropathy and underwent a preemptive living kidney transplant with his wife as the donor, but the graft contained two duplicate ureters. We established a method to prevent serious complications by inserting an external urinary fistula catheter during ureterovesical anastomosis. The anastomosis and ureter were directly assessed by injecting a contrast medium postoperatively for external urinary fistulas. Distinguishing and measuring the amount of urine from each ureter becomes possible. Additionally, it was useful for urinary training postoperatively. Noteworthily, the catheter can be removed simply by pulling it out and does not require a cystoscope. The patient achieved an uneventful postoperative course and was discharged from the hospital.</div></div><div><h3>Conclusions</h3><div>Inserting an external urinary fistula catheter demonstrated many advantages and will be used effectively in the future.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 430-434"},"PeriodicalIF":0.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Mutations and Post-Lung Transplant Complications: A Case of Hereditary Transthyretin Amyloidosis 基因突变与肺移植术后并发症:一例遗传性转甲状腺素淀粉样变性。
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.01.007
Sharmistha Dutta , Rutvik Raval , Manas Das , Atul C. Mehta
{"title":"Genetic Mutations and Post-Lung Transplant Complications: A Case of Hereditary Transthyretin Amyloidosis","authors":"Sharmistha Dutta ,&nbsp;Rutvik Raval ,&nbsp;Manas Das ,&nbsp;Atul C. Mehta","doi":"10.1016/j.transproceed.2025.01.007","DOIUrl":"10.1016/j.transproceed.2025.01.007","url":null,"abstract":"<div><div>Genetic mutations are increasingly recognized as significant contributors to post-transplant complications. Common genetic conditions, such as short telomere syndrome (STS), lymphangioleiomyomatosis, cystic fibrosis (CF), and alpha-1 antitrypsin deficiency (AAT), have been documented to influence outcomes in lung transplant recipients. Here, we present a case of hereditary transthyretin (ATTR) cardiac amyloidosis leading to heart failure in a 71-year-old female, six years after undergoing a single-lung transplantation (LTx) for interstitial lung disease. This case report highlights the need for awareness of genetic predispositions, including rare conditions such as hereditary ATTR amyloidosis, among individuals being considered for solid organ transplantation.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 485-486"},"PeriodicalIF":0.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salvage of a Liver Allograft From Procurement Injury: A Case Report on the Reconstruction of the Suprahepatic Inferior Vena Cava With Donor Iliac Vein 从采购损伤中挽救肝脏异体移植:用捐献的髂静脉重建肝上下腔静脉的病例报告。
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.011
Jessie G. Jiang , Marissa Di Napoli , Yanik J. Bababekov , Maria Baimas-George , Michael Wachs
{"title":"Salvage of a Liver Allograft From Procurement Injury: A Case Report on the Reconstruction of the Suprahepatic Inferior Vena Cava With Donor Iliac Vein","authors":"Jessie G. Jiang ,&nbsp;Marissa Di Napoli ,&nbsp;Yanik J. Bababekov ,&nbsp;Maria Baimas-George ,&nbsp;Michael Wachs","doi":"10.1016/j.transproceed.2025.02.011","DOIUrl":"10.1016/j.transproceed.2025.02.011","url":null,"abstract":"<div><div>Organ procurement injury is an underreported yet preventable cause of allograft loss. In cases where procurement injury occurs, innovative methods for reconstruction are necessary to minimize organ discard rates given the nationwide organ shortage. The liver and suprahepatic inferior vena cava (IVC) are particularly vulnerable to injury during multiorgan procurements when multiple procurements teams are present. We report an extreme case of suprahepatic IVC injury and our method for repair that resulted in successful transplantation and adequate post-transplant graft function.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 468-471"},"PeriodicalIF":0.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endobronchial Mycobacterium Avium-Intracellulare Infection in Lung Transplant Recipients 肺移植受者的支气管内分枝杆菌感染
IF 0.8 4区 医学
Transplantation proceedings Pub Date : 2025-02-27 DOI: 10.1016/j.transproceed.2025.02.007
Shamitha Hejmadi , Rutvik Raval , Atul C. Mehta
{"title":"Endobronchial Mycobacterium Avium-Intracellulare Infection in Lung Transplant Recipients","authors":"Shamitha Hejmadi ,&nbsp;Rutvik Raval ,&nbsp;Atul C. Mehta","doi":"10.1016/j.transproceed.2025.02.007","DOIUrl":"10.1016/j.transproceed.2025.02.007","url":null,"abstract":"<div><div>Endobronchial Mycobacterium avium-intracellulare (MAI) infection has been described in immunocompromised patients but is rare among transplant recipients. We present a case of a 48-year-old male with a history of coal miners’ pneumoconiosis who underwent bilateral lung transplantation. Ten months post-transplant, despite normal spirometry and absence of respiratory symptoms, routine surveillance bronchoscopy revealed multiple endobronchial polypoid lesions. Biopsy demonstrated non-necrotizing granulomatous inflammation, with cultures confirming MAI infection. This case underscores the importance of maintaining a high index of suspicion for atypical infections like MAI in lung transplant recipients, even in the absence of overt clinical symptoms. This case's unique presentation adds to our understanding of potential post-transplant complications and may help clinicians recognize similar presentations in the future.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 3","pages":"Pages 495-497"},"PeriodicalIF":0.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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