非标准肝脏，一种不可忽视的潜在资源：对最佳受者识别的启示
The nonstandard liver, a hidden resource that cannot be overlooked: implications for the identification of the best recipient.
作者信息
Avolio A W, Agnes S, Nure E, Gasbarrini A, Siciliano M, Pompili M, Castagneto M
机构信息
Transplant Unit, A. Gemelli Catholic University of Rome, Italy.
出版信息
Transplant Proc. 2006 May;38(4):1055-8. doi: 10.1016/j.transproceed.2006.03.006.
We described the characteristics of livers already labeled as marginal, nonstandard, or selected with extended criteria: donors of elderly age, steatosis, hemodynamic instability, long cold ischemia time, high serum Na, HbcAb-positive status, HCVAb-positive status. Recipients characteristics (gender, UNOS status, MELD score, indication for transplantation) and their best possible match to nonstandard donors were evaluated with a report of the recent guidelines and the specific algorithms to optimize recipient identification.
我们描述了已被标记为边缘供肝、非标准供肝或采用扩大标准选择的供肝的特征：高龄供者、脂肪变性、血流动力学不稳定、冷缺血时间长、高血清钠、乙肝核心抗体阳性状态、丙肝抗体阳性状态。根据近期指南报告和优化受者识别的特定算法，评估了受者特征（性别、美国器官共享联合网络状态、终末期肝病模型评分、移植指征）及其与非标准供者的最佳匹配情况。
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