LTSI共识指南:在成年肝移植接受者中进行手术前肺部评估
Shweta A Singh1, Piyush Shrivastava2, Anil Agarwal2
1Center for Liver & Biliary Sciences, Max Super Speciality Hospital, New Delhi, 110017, India.
Journal of clinical and experimental hepatology
|May 30, 2023
概括
慢性肝病 (CLD) 可以导致严重的肺部问题,如肝肺综合征. 本指南提供了肝移植前肺部查的建议,以改善患者的治疗结果.
科学领域:
- 肺部病理学 肺部病理学
- 肝病学 肝病学是一种肝病学.
- 移植医学 移植医学
背景情况:
- 慢性肝病 (CLD) 与呼吸系统症状和缺氧有关.
- 关键的肺部并发症包括肝肺综合征,肺高血压和肝脏水胸.
- 以前存在的肺部疾病,如COPD和ILD,可能会对肝移植结果产生负面影响.
研究的目的:
- 为在接受肝移植 (LT) 的成年人中提供全面的肺查建议.
- 标准化CLD患者肺部问题的术前评估策略.
- 解决与潜在的肝病相关和无关的肺部并发症.
主要方法:
- 由印度肝移植协会 (LTSI) 制定共识指南.
- 审查现有文献,包括案例报告,小系列,注册表和数据库.
- 专家意见的综合,以制定建议.
主要成果:
- 确定了三种主要的肺部并发症,这些并发症与CLD有关.
- 突出了同时存在的肺部疾病对LT结局的影响.
- 承认这一领域随机对照试验的可用性有限.
结论:
- 肺部评估对于优化等待LT的CLD患者的治疗结果至关重要.
- 需要标准化手术前评估策略.
- 未来的研究应该解决当前的评估差距和挑战.
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