Zitelli B J, Malatack J J, Gartner J C, Urbach A H, Williams L, Miller J W, Kirkpatrick B
Pediatrics. 1986 Oct;78(4):559-65.
In a 36-month period from 1981 to 1984, 209 pediatric patients were evaluated for liver transplantation. The purpose of the evaluation was to assess the severity and progression of the disease, anatomical suitability for transplantation, and psychosocial stability and to initiate family education. Of the 209 patients evaluated, 85 (41%) underwent transplantations and 64 (75%) survived at least 12 months. Thirty-four (16%) patients were not considered candidates for transplantation. The mean waiting period increased from 80.3 days to 232 days. Of 174 patients considered for transplantation, 41 (24%) died prior to surgery. A formal evaluation for liver transplantation permitted appropriate selection of candidates and provided education for informed consent. We also stress the need for greater participation in pediatric organ donation.
在1981年至1984年的36个月期间，对209名儿科患者进行了肝移植评估。评估的目的是评估疾病的严重程度和进展、移植的解剖学适宜性、心理社会稳定性，并开展家庭教育。在接受评估的209名患者中，85名（41%）接受了移植，64名（75%）存活至少12个月。34名（16%）患者未被视为移植候选者。平均等待期从80.3天增加到232天。在174名被考虑进行移植的患者中，41名（24%）在手术前死亡。对肝移植进行正式评估有助于合理选择候选者，并为知情同意提供教育。我们还强调需要更多地参与儿科器官捐赠。
