Mount Sinai School of Medicine, New York, NY, USA.
Liver Transpl. 2011 Sep;17(9):1111-6. doi: 10.1002/lt.22332.
Liver transplantation (LT) programs encounter patients with fulminant hepatic failure resulting from suicide attempts involving acetaminophen or multidrug ingestion. Members of transplant teams often have different opinions about whether these patients should be offered transplantation. Disagreements can delay the transfer of these patients to a transplant facility and negatively affect their management. Currently, transplant programs have no guidelines to help them with their decisions about the appropriateness of LT for these patients. Here we present a clinical case encountered at our facility, and we discuss ethical principles that should help programs to make informed decisions about transplantation for these patients.
肝移植（LT）项目会遇到因服用扑热息痛或多种药物而导致暴发性肝衰竭的自杀企图患者。移植团队的成员对于是否为这些患者提供移植往往持有不同意见。分歧可能会延迟将这些患者转移到移植机构，并对其治疗产生负面影响。目前，移植项目没有指南来帮助他们做出关于这些患者是否适合进行 LT 的决策。在这里，我们介绍了我们机构遇到的一个临床病例，并讨论了应帮助项目做出关于这些患者进行移植的知情决策的伦理原则。
