Jansen P L
Division of Gastroenterology and Hepatology, University Hospital Groningen, Netherlands.
Neth J Med. 1998 Feb;52(2):53-7. doi: 10.1016/s0300-2977(97)00083-1.
A combined protocol for liver transplantation has been written by the teams of Groningen and Rotterdam. This is to ensure that the criteria for selection and timing of liver transplantation, and the procedures for patient evaluation, are identical or at least very similar. Also, the waiting list procedures in the two centres, including the criteria used to decide which patient will be transplanted first, are very similar. Currently, most patients with liver cirrhosis or filminant liver failure should be considered as liver transplant candidates unless a contraindication is found. Most contraindications are relative and are the subject of a careful balance of pros and cons. The detection and care of liver patients starts with the general practitioner. Referral to liver transplantation centres is the final step. In the Netherlands, liver disease is relatively rare and therefore patients are best served when the expertise is concentrated in a few liver centres.
格罗宁根和鹿特丹的团队共同制定了一份肝移植联合方案。这是为了确保肝移植的选择标准、时机以及患者评估程序完全相同或至少非常相似。此外，两个中心的等待名单程序，包括用于决定哪位患者优先接受移植的标准，也非常相似。目前，大多数肝硬化或暴发性肝衰竭患者应被视为肝移植候选者，除非发现有禁忌症。大多数禁忌症是相对的，需要仔细权衡利弊。肝病患者的检测和护理始于全科医生。转诊至肝移植中心是最后一步。在荷兰，肝病相对罕见，因此将专业知识集中在少数几个肝脏中心能为患者提供最佳服务。
