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[多病患者的腹部器官移植]

[Abdominal organ transplantation in multimorbid patients].

作者信息

Bauschke Astrid, Ali-Deeb Aladdin, Dondorf Felix, Rauchfuss Falk, Rohland Oliver, Settmacher Utz

机构信息

Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07740, Jena, Deutschland.

Comprehensive Cancer Center Central Germany (CCCG), Leipzig, Deutschland.

出版信息

Chirurgie (Heidelb). 2025 Feb;96(2):124-129. doi: 10.1007/s00104-024-02201-y. Epub 2024 Dec 6.

Abstract

Patients with an indication for transplantation of abdominal organs often suffer from terminal organ failure with a relevant number of comorbidities. This can be complicated by acute and underlying disease-related events or age-related comorbidities. The diagnostic assignment of symptoms is difficult and the available treatment options have to be adapted. During the evaluation, the waiting time for suitable donor organs and immediately prior to surgery, the treatment team, consisting of the referring physician and the interdisciplinary transplantation team needs to decide whether the transplantation can be performed.

摘要

有腹部器官移植指征的患者通常患有终末期器官衰竭,并伴有相当数量的合并症。这可能因急性和潜在的疾病相关事件或与年龄相关的合并症而变得复杂。症状的诊断归属困难,且可用的治疗方案必须进行调整。在评估期间、等待合适供体器官的时间以及手术前即刻,由转诊医生和跨学科移植团队组成的治疗团队需要决定是否能够进行移植。

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