Martin A, Rossaro L
Cattedra di Malattie dell'Apparato Digerente, Universita di Padova, Italy.
Gastroenterol Jpn. 1993 Jul;28 Suppl 6:34-7; discussion 38-41. doi: 10.1007/BF02994291.
We analyze the current state of liver transplantation (OLTx) in Italy that in the last few years had reached approximately 150 OLTx per year for a population of 58 millions of inhabitants. The need for OLTx in Italy is high and mainly due to the incidence of post-hepatitis and post-alcoholic liver cirrhosis, which are the prevalent indication for OLTx. On the contrary the availability of donor organs in Italy is very low as compared with other European countries, and as a consequence the gap between need and performed OLTx is widening. The reasons for poor donations are multifactorial among which; lack of organization, insufficient ICU care beds, poor knowledge of health personnel. General attitudes of the society and brain death concepts are also involved as a recent survey has demonstrated. Under certain circumstances the patient who cannot be transplanted on time in Italy is allowed to seek for care abroad under the local government economical assistance. Finally some ethical considerations and the proposal for better education of both population and health care providers are advocated.
我们分析了意大利肝移植（OLTx）的现状。在过去几年中，意大利每年约有150例肝移植手术，其人口为5800万。意大利对肝移植的需求很高，主要是由于肝炎后和酒精性肝硬化的发病率，这是肝移植的主要适应症。相反，与其他欧洲国家相比，意大利供体器官的可用性非常低，因此需求与实际进行的肝移植之间的差距正在扩大。捐赠不足的原因是多方面的，其中包括组织不力、重症监护病房床位不足、医护人员知识欠缺。正如最近一项调查所示，社会的总体态度和脑死亡概念也有影响。在某些情况下，在意大利无法及时接受移植的患者可在当地政府的经济援助下到国外寻求治疗。最后，我们提倡一些伦理考量以及对公众和医疗服务提供者进行更好教育的建议。
