Indicators and outcome of liver transplantation in acute liver decompensation after flares of hepatitis B.
作者： W.-C. Lee , H.-S. Chou , T.-J. Wu , C.-S. Lee , C.-F. Lee
DOI: 10.1111/J.1365-2893.2010.01295.X
关键词:
摘要: Summary. Non-cirrhotic patients having acute liver decompensation in flares of hepatitis B can recover spontaneously or die without transplantation. Criteria for identifying need transplantation are lacking. Fifty-one non-cirrhotic were retrospectively reviewed. The divided into three groups: group A (n = 18) recovered from spontaneously; (n = 22) died failure; and C (n = 11) had Model end-stage disease (MELD) scores evaluated to identify the criteria cut-off point MELD was by receiver operating characteristic (ROC) curve. Comparing patients, score an independent factor predict prognosis. By analysing ROC curve, a score > 30 most optimal indicate transplantation; however, false positive rate 11.1%. weekly measurement scores, subsequent increase could help avoid positives. Moreover, score > 34 yielded 0% indicated necessity definite For ten 11 saved In conclusion, B, is definitely scores > 34. Liver also if increases 1–2 weeks. has good outcome performed on time.
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