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肝衰竭的治疗现状
Current status of liver failure treatment
文章发布日期:2016年08月08日  来源:  作者:马 臻, 乌 云  点击次数:1245次  下载次数:339次

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【摘要】:肝衰竭是多种因素引起的严重肝损伤。对目前治疗肝衰竭采用的方法进行了总结归纳,公认的治疗方法有重症监护与支持治疗、针对病因治疗、调节免疫治疗、防治各种并发症、人工肝支持治疗以及肝移植等。认为肝衰竭的治疗更应强调“内科-人工肝-肝移植”的综合治疗模式,临床工作中坚持早诊断、早治疗,针对不同病因采取相应的综合治疗措施,积极防治各种并发症,同时还应建立多学科团队,制订个性化的诊疗方案,从而降低病死率,改善患者的临床结局。
【Abstract】:Liver failure is severe liver injury caused by various factors. This article summarizes currently used therapeutic methods for liver failure, and the universally acknowledged therapeutic methods include intensive care and supportive care, etiological treatment, regulation of immune function, prevention and treatment of various complications, supportive treatment with artificial liver, and liver transplantation. It is pointed out that the treatment of liver failure should focus on the multimodality therapy of internal medicine-artificial liver-liver transplantation, and that early diagnosis and treatment should be emphasized in clinical practice. The multimodality therapy should be developed according to the etiology, and complications should be actively prevented and treated. A multidisciplinary team should be established to develop individualized diagnosis and treatment regiments, so as to reduce the mortality rate and improve patients′ clinical outcome.
【关键字】:肝功能衰竭; 治疗
【Key words】:hepatic failure; therapy
【引证本文】:马臻, 乌云. 肝衰竭的治疗现状[J]. 临床肝胆病杂志, 2016, 32(9): 1668-1672.

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