Koffron Alan, Stein Julie A
William Beaumont Hospital, 3601 West Thirteen Mile Road, Royal Oak, MI 48073, USA.
Med Clin North Am. 2008 Jul;92(4):861-88, ix. doi: 10.1016/j.mcna.2008.03.008.
Liver transplantation is the therapeutic option of choice for acute and chronic end-stage liver disease. The indications and contraindications to liver transplantation have become established, as has the operative and postoperative management. This article provides a practical clinical approach to the evaluation and management of patients with acute and chronic liver failure, with particular emphasis on liver transplant recipient selection, clinical management, and complications. The goal is to provide helpful guidelines to caregivers involved in the multidisciplinary care of these complex patients.
肝移植是急性和慢性终末期肝病的首选治疗方法。肝移植的适应证和禁忌证已经明确,手术及术后管理也是如此。本文提供了一种评估和管理急性和慢性肝衰竭患者的实用临床方法,特别强调肝移植受者的选择、临床管理及并发症。目的是为参与这些复杂患者多学科护理的医护人员提供有用的指导方针。