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This article reports the case of a 70-year-old female patient scheduled for surgical intervention due to a space-occupying lesion at the distal common bile duct. The patient presented with severe allergic reactions to plasma-derived human serum albumin (pHSA), precluding its use for correcting hypoalbuminemia. Following informed consent, recombinant human albumin injection (Oryza Sativa) (OsrHSA) was administered as an alternative. The patient received a total of 70 g OsrHSA preoperatively in divided infusions, and her serum albumin level increased from 29.1 g·L-1 to 37.3 g·L-1 without adverse events. She subsequently underwent laparoscopic pancreaticoduodenectomy without complications. OsrHSA was also administered multiple times postoperatively, and no allergic reactions were observed. This case represented the successful application of OsrHSA as a safe alternative to pHSA in perioperative management for complex surgery. To the authors' knowledge, no similar reports have been published to date. This provides a new therapeutic avenue for patients with contraindications to human serum albumin, suggesting that plant-derived recombinant human albumin represents a safe and effective alternative.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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