Pár A
Pécsi Orvostudományi Egyetem, I. Belgyógyászati Klinika.
Orv Hetil. 1996 Oct 20;137(42 Suppl 1):2364-8.
The timing of liver transplantation and the predictive factors have been reviewed as well as criteria systems for evaluation of the survival are discussed. Liver transplantation is the only treatment for patients with end-stage liver disease. Yet, it is emphasized, that the preoperative condition of the patient plays a crucial role in the final outcome after transplant. The early referral is one of the most important keys to the success of transplantation. Offering liver transplantation before patients have deteriorated to the point of needing intensive care unit support, may lead to decreased morbidity and ultimately improve the overall survival rate of this challenging procedure.
回顾了肝移植的时机和预测因素,并讨论了生存评估的标准系统。肝移植是终末期肝病患者的唯一治疗方法。然而,需要强调的是,患者的术前状况对移植后的最终结果起着关键作用。早期转诊是移植成功的最重要关键之一。在患者病情恶化到需要重症监护病房支持之前提供肝移植,可能会降低发病率,并最终提高这一具有挑战性的手术的总体生存率。