多种肝衰竭预后模型的对比分析

刘杰玉; 冯义朝

doi:10.3969/j.issn.1001-5256.2014.10.027

多种肝衰竭预后模型的对比分析

DOI: 10.3969/j.issn.1001-5256.2014.10.027

延安大学附属医院消化内科

详细信息

中图分类号: R575.3
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出版历程
- 出版日期: 2014-10-20

Analysis of prognostic models for liver failure

摘要

摘要:
肝衰竭发展速度快、病情危重,内科治疗效果差,病死率高。如何根据临床表现及实验室检查等手段准确的判断肝衰竭患者的预后,对于临床治疗策略及供体肝分配有很好的指导意义。介绍了CTP评分、MELD及其衍生评分系统、KCH标准、SOFA评分、APACHE评分系统、SMSVH评分、Clichy标准、人工神经网络(ANN)等肝衰竭预后模型,用以指导临床策略的制订及筛选可行肝移植手术的患者,并评价它们在判断肝衰竭预后的意义及相互差异。
- 肝功能衰竭 /
- 预后 /
- 评分标准 /
- 综述
Abstract:
Liver failure progresses rapidly, and patients with this disease are usually in a critical condition. The medical treatment of liver failure has unsatisfactory results, leading to a high mortality. How to accurately judge the prognosis of patients with liver failure according to their clinical manifestations and laboratory test results is a very good guide for clinical treatment strategies and donor liver allocation. The prognostic models for liver failure, such as CTP score, MELD and its derivative scoring system, KCH criteria, SOFA score, APACHE scoring system, SMSVH score, Clichy criteria, and ANN, are reviewed. These models are used to guide the development of clinical treatment strategies and screen out patients eligible for liver transplantation. In addition, the prognostic values of these models for liver failure and their differences are evaluated.
- liver failure /
- prognosis /
- standard score /
- review

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参考文献(7)

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