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肝衰竭的临床诊断、预后评估和治疗进展
Research advances in clinical diagnosis, prognostic evaluation, and treatment of liver failure
文章发布日期:2016年08月08日  来源:  作者:林 锋  点击次数:1310次  下载次数:344次

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【摘要】:肝衰竭病情进展迅速,预后差,是重型肝炎患者死亡的主要原因之一。叙述了肝衰竭的临床诊断、预后评估及治疗方法,指出尽管国内外对肝衰竭诊断存在不同观点但也渐趋一致。目前,终末期肝病模型评分是较常用的评判肝衰竭严重程度和预后的方法。经过长期探索和努力,发现内科综合治疗联合人工肝治疗能显著提高肝衰竭患者的存活率,认为干细胞移植是未来临床治疗肝衰竭的新方法,展示出良好的应用前景。
【Abstract】:Liver failure usually has rapid progression and poor prognosis and is one of the major causes of death in patients with severe hepatitis. This article describes the clinical diagnosis, prognostic evaluation, and therapeutic methods of liver failure and points out that the different opinions on the diagnosis of liver failure in China and foreign countries tend to reach a consensus. The Model for End-Stage Liver Disease score is commonly used in the evaluation of severity and prognosis of liver failure. With long-time efforts, multimodality therapy in internal medicine combined with artificial extracorporeal liver support therapy can significantly improve the survival rate of patients with liver failure. Stem cell treatment is a new method for the treatment of liver failure in clinical practice and has promising prospects.
【关键字】:肝功能衰竭; 诊断; 预后; 治疗
【Key words】:liver failure; diagnosis; prognosis; therapy
【引证本文】:林锋. 肝衰竭的临床诊断、预后评估和治疗进展[J]. 临床肝胆病杂志, 2016, 32(9): 1678-1683. (本文编辑: 林姣)

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