Howard L M, Williams R, Fahy T A
Maudsley Hospital, London, U.K.
J Psychosom Res. 1994 Oct;38(7):643-53. doi: 10.1016/0022-3999(94)90017-5.
Patients with severe alcoholic liver disease are receiving liver transplants in increasing numbers. Alcoholic liver transplant patients appear to have a good prognosis, yet alcoholic candidates may be rejected on psychiatric grounds alone. The role of the psychiatrist in the multidisciplinary assessment is discussed and the use of a number of predictors of outcome for alcoholic candidates considered. Studies examining these variables have many methodological limitations and it is therefore very difficult to draw any firm conclusions on their validity or reliability. Long-term prospective studies using appropriate measures of outcome should enable the liaison psychiatrist to provide more useful advice on the psychosocial outcome and treatment requirements of this growing group of patients.
患有严重酒精性肝病的患者接受肝移植的人数日益增加。酒精性肝移植患者似乎预后良好，但酒精性肝病候选者可能仅因精神方面的原因而被拒绝。本文讨论了精神科医生在多学科评估中的作用，并考虑了一些酒精性肝病候选者预后预测指标的应用。研究这些变量的研究存在许多方法学上的局限性，因此很难就其有效性或可靠性得出任何确凿的结论。采用适当预后指标的长期前瞻性研究应能使联络精神科医生就这一不断增加的患者群体的心理社会预后和治疗需求提供更有用的建议。
