一种专门的移植重症监护模式：扩大肝移植对重症患者的可及性。
A Specialized Transplantation Critical Care Model: Expanding Liver Transplantation Access to High-Acuity Patients.
作者信息
Zimmerman M A, Selim M, Kim J, Kozeniecki M, Hong J C
机构信息
Division of Transplant Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; The Transplant Center at Froedtert & Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Froedtert Hospital, Milwaukee, Wisconsin, USA.
出版信息
Transplant Proc. 2018 Nov;50(9):2619-2621. doi: 10.1016/j.transproceed.2018.03.066. Epub 2018 Mar 15.
The current organ crisis has led to prolonged waiting times for liver transplantation, the progression of liver disease, and the subsequent increase in severity of illness. High acuity patients in need of orthotopic liver transplantation (OLT) maybe denied access to life-saving transplantation due to perceived poor outcomes after OLT and severe comorbid conditions. Recent studies demonstrated the highest survival benefit and acceptable post-OLT outcomes in high-acuity patients. This article provides an overview of a transplantation critical care model to increase liver transplantation access and optimize post-OLT outcomes in high-acuity patients.
当前的器官危机导致肝移植等待时间延长、肝脏疾病进展以及随后病情严重程度增加。因肝移植术后预后不佳和严重合并症，急需原位肝移植（OLT）的高 acuity 患者可能无法获得挽救生命的移植手术。最近的研究表明，高 acuity 患者的生存获益最高，且肝移植术后预后可接受。本文概述了一种移植重症监护模式，以增加高 acuity 患者获得肝移植的机会，并优化其肝移植术后预后。
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