DiMartini Andrea, Crone Catherine, Fireman Marian, Dew Mary Amanda
Consultation liaison to the Liver Transplant Program, Starzl Transplant Institute, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Crit Care Clin. 2008 Oct;24(4):949-81, x. doi: 10.1016/j.ccc.2008.05.001.
Intensive care unit teams are a critical part of the solid organ transplant process. The psychosocial issues involved during critical periods of transplantation are important for intensive care physicians and clinicians to understand to provide comprehensive care to transplant patients. This article provides a brief overview of transplant epidemiology, followed by a review of the psychosocial issues relevant to the phases of the transplant process. Considered are the pretransplant evaluation phase, psychiatric disorders in transplant patients, and cognitive impairments and delirium with additional issues specific to particular organs. Also covered are the side effects of immunosuppressive medications and special issues arising with living donors.
重症监护病房团队是实体器官移植过程的关键组成部分。对于重症监护医生和临床医生而言，了解移植关键期所涉及的心理社会问题，对于为移植患者提供全面护理至关重要。本文简要概述了移植流行病学，随后回顾了与移植过程各阶段相关的心理社会问题。内容包括移植前评估阶段、移植患者的精神障碍、认知障碍和谵妄，以及特定器官的其他特殊问题。还涵盖了免疫抑制药物的副作用和活体供体引发的特殊问题。
