Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clin Proc. 2012 Aug;87(8):779-90. doi: 10.1016/j.mayocp.2012.02.021. Epub 2012 Jul 3.
Recognition, management, and prevention of medical complications and comorbidities after liver transplant is the key to improved long-term outcomes. Beyond allograft-related complications, metabolic syndrome, cardiovascular disease, renal dysfunction, and malignancies are leading causes of morbidity and mortality in this patient population. Primary care physicians have an important role in improving outcomes of liver transplant recipients and are increasingly relied on for managing these complex patients. This review serves to assist the primary care physician in the long-term management issues of liver transplant recipients.
肝移植后对医学并发症和合并症的识别、管理和预防是改善长期预后的关键。除了移植物相关并发症外，代谢综合征、心血管疾病、肾功能障碍和恶性肿瘤是该患者人群发病率和死亡率的主要原因。初级保健医生在改善肝移植受者的预后方面发挥着重要作用，并且越来越依赖他们来管理这些复杂的患者。本文旨在帮助初级保健医生解决肝移植受者的长期管理问题。
