Saab S, Han S H, Martin P
Division of Digestive Diseases, University of California Los Angeles School of Medicine, Los Angeles, California, USA.
Clin Liver Dis. 2000 Aug;4(3):513-32. doi: 10.1016/s1089-3261(05)70124-0.
Although only the expansion of the donor pool will have a major impact on the survival of patients with decompensated cirrhosis awaiting OLT, anticipation of complications such as SBP may improve the likelihood of a patient surviving until OLT, and may ameliorate some of the major causes of morbidity of cirrhosis, such as osteoporosis. Close communication between the treating physicians and the transplant center is crucial to ensure that the patients' UNOS status can be appropriately adjusted if additional complications of cirrhosis, such as intractable ascites, have occurred.
虽然只有扩大供体库才会对等待肝移植的失代偿期肝硬化患者的存活产生重大影响，但对诸如自发性细菌性腹膜炎等并发症的预测可能会提高患者存活至肝移植的可能性，并可能改善肝硬化的一些主要发病原因，如骨质疏松症。主治医生与移植中心之间的密切沟通对于确保如果发生肝硬化的其他并发症，如顽固性腹水，患者的器官共享联合网络（UNOS）状态能够得到适当调整至关重要。
