Ведение пациентов с заболеваниями печени, находящихся в очереди на трансплантацию: основное влияние на успех трансплантации печени.
DOI:
https://doi.org/10.52692/1857-0011.2021.3-71.29Ключевые слова:
трансплантация печени, острая и хроническая печеночная недостаточностьАннотация
Результаты трансплантации печени отличные, выживаемость составляет более 90 и 80% через 1 и 5 лет соответственно. Успех трансплантации печени привел к увеличению показаний к трансплантации печени. Как правило, приоритет отдается пациентам с циррозом печени с высоким баллом по модели терминальной стадии заболевания печени (MELD) по принципу «сначала заболевание», а пациентам с гепатоцеллюлярной карциномой (HCC) - по принципу приоритетных точек в соответствии с размером и количеством. узелков ГЦК. Эти критерии могутпривести к «соревнованию» в листе ожидания между указанными выше пациентами и пациентами с циррозом и средней оценкой MELD или с опасными для жизни заболеваниями печени, не описываемыми шкалой MELD. Для этой последней группы пациентов баллы «исключения MELD» могут быть присвоены произвольно.Библиографические ссылки
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