Vagelos R, Fowler M B
Division of Cardiology, Stanford University Medical Center, California.
Cardiol Clin. 1990 Feb;8(1):23-38.
In order to appropriately allocate the precious resource of donor organs for cardiac transplantation, one must adequately assess the prognosis of the prospective recipient with or without transplantation. This requires knowledge of the natural history of heart failure as well as those parameters by which it is evaluated. It also requires knowledge of those factors that make patients appropriate versus inappropriate surgical candidates. This article approaches both these necessary areas of patient evaluation.
为了合理分配用于心脏移植的宝贵供体器官资源,必须充分评估潜在受者接受或不接受移植的预后。这需要了解心力衰竭的自然病程以及评估心力衰竭的相关参数。还需要了解那些使患者成为合适或不合适手术候选者的因素。本文探讨了患者评估这两个必要领域。