中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

慢加急性肝衰竭长期预后转归的等级分析:同病不同结局

董金玲 陈煜

引用本文:
Citation:

慢加急性肝衰竭长期预后转归的等级分析:同病不同结局

DOI: 10.3969/j.issn.1001-5256.2021.09.006
基金项目: 

国家科技重大专项 (2017ZX10203201-005)

国家科技重大专项 (2017ZX10203201-007)

国家重点研发计划 (2017YFA0103000)

利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:董金玲负责资料分析,撰写文章,修改论文;陈煜负责课题设计,拟定写作思路,指导文章撰写并最后定稿。
详细信息
    通信作者:

    陈煜,chybeyond1071@ccmu.edu.cn

  • 中图分类号: R575.3

Prognostic grade of acute-on-chronic liver failure: Different outcomes of the same disease

Research funding: 

Major Projects of National Science and Technology (2017ZX10203201-005);

Major Projects of National Science and Technology (2017ZX10203201-007);

National Key Research and Development Plan Funding (2017YFA0103000)

  • 摘要: 慢加急性肝衰竭(ACLF)是在慢性肝病基础上发生的急性肝功能失代偿,伴随着器官功能衰竭和短期高死亡率为特点的复杂临床综合征。ACLF病程有长有短,疾病具有可逆转性,患者长期预后转归结局多样化,临床医生应尽早准确评估患者的预后,以优化治疗方案,提高患者生存率。就ACLF患者预后长期转归首次进行5个等级的描述:Ⅰ级为理想的结局:无肝硬化;Ⅱ级为满意的结局:代偿性肝硬化,表现为可逆转的肝硬化或持续代偿性的肝硬化;Ⅲ级为可接受的结局:失代偿性肝硬化,表现为失代偿性肝硬化或慢性肝衰竭;Ⅳ级为移植后存活结局;Ⅴ级为死亡结局,以期为临床长期预后结局判断提供参考。

     

  • [1] Liver Failure and Artificial Liver Group, Chinese Society of Infectious Diseases, Chinese Medical Association; Severe Liver Disease and Artificial Liver Group, Chinese Society of Hepatology, Chinese Medical Association. Guideline for diagnosis and treatment of liver failure(2018)[J]. J Clin Hepatol, 2019, 35(1): 38-44. DOI: 10.3969/j.issn.1001-5256.2019.01.007.

    中华医学会感染病学分会肝衰竭与人工肝学组, 中华医学会肝病学分会重型肝病与人工肝学组. 肝衰竭诊治指南(2018年版)[J]. 临床肝胆病杂志, 2019, 35(1): 38-44. DOI: 10.3969/j.issn.1001-5256.2019.01.007.
    [2] JALAN R, GINES P, OLSON JC, et al. Acute-on chronic liver failure[J]. J Hepatol, 2012, 57(6): 1336-1348. DOI: 10.1016/j.jhep.2012.06.026.
    [3] ZHANG H, JIA L, YAO SW, et al. Meta-analysis of the predictive value of MELD-Na score for the short-term prognosis of HBV-related chronic acute liver failure in my country[J]. J Clin Hepatol, 2018, 34(9): 1950-1955. DOI: 10.3969/j.issn.1001-5256.2018.09.024.

    张辉, 贾雷, 姚士伟, 等. MELD-Na评分对我国HBV相关慢加急性肝衰竭短期预后预测价值的Meta分析[J]. 临床肝胆病杂志, 2018, 34(9): 1950-1955. DOI: 10.3969/j.issn.1001-5256.2018.09.024.
    [4] YU XD, QIAN YB, XIA Q, et al. Progress in the study of acute-on-chronic liver failure[J]. Int J Dig Dis, 2019, 39(4): 252-255, 280. DOI: 10.3969/j.issn.1673-534X.2019.04.004.

    俞旭东, 钱永兵, 夏强, 等. 慢加急性肝衰竭的研究进展[J]. 国际消化病杂志, 2019, 39(4): 252-255, 280. DOI: 10.3969/j.issn.1673-534X.2019.04.004.
    [5] CHEN Y. Highlight of a new clinical classification of acute-on-chronic liver failure[J]. J Prac Hepatol, 2020, 23(4): 457-458. DOI: 10.3969/j.issn.1672-5069.2020.04.001.

    陈煜. 再论慢加急性肝衰竭新的临床分型及临床意义[J]. 实用肝脏病杂志, 2020, 23(4): 457-458. DOI: 10.3969/j.issn.1672-5069.2020.04.001.
    [6] JIANG LN, ZHAO JM. Clinicopathological basis of liver failure[J]. J Clin Hepatol, 2019, 35(9): 1916-1919. DOI: 10.3969/j.issn.1674.8115.2021.02.02l.

    蒋丽娜, 赵景民. 肝衰竭的临床病理基础[J]. 临床肝胆病杂志, 2019, 35(9): 1916-1919. DOI: 10.3969/j.issn.1674.8115.2021.02.02l.
    [7] SARIN SK, CHOUDHURY A, SHARMA MK, et al. Correction to: Acute-on-chronic liver failure: Consensus recommendations of the Asian Pacific association for the study of the liver (APASL): An update[J]. Hepatol Int, 2019, 13(6): 826-828. DOI: 10.1007/s12072-019-09980-1.
    [8] WU T, LI J, SHAO L, et al. Development of diagnostic criteria and a prognostic score for hepatitis B virus-related acute-on-chronic liver failure[J]. Gut, 2018, 67(12): 2181-2191. DOI: 10.1136/gutjnl-2017-314641.
    [9] XU MM, KONG M, CAO YY, et al. A new perspective on acute-on-chronic liver failure based on clinical outcome of dynamic classification criteria[J]. Chin J Hepatol, 2020, 28(4): 319-325. DOI: 10.3760/cma.j.cn501113-0309-00099.

    徐曼曼, 孔明, 曹影影, 等. 慢加急性肝衰竭分型新视点: 基于临床转归的动态分型新标准[J]. 中华肝脏病杂志, 2020, 28(4): 319-325. DOI: 10.3760/cma.j.cn501113-0309-00099.
    [10] MOREAU R, JALAN R, GINES P, et al. Acute-on-chronic liver failure is a distinct syndrome that develops in patients with acute decompensation of cirrhosis[J]. Gastroenterology, 2013, 144(7): 1426-1437. DOI: 10.1053/j.gastro.2013.02.042.
    [11] ZHANG TY, YU YP, XIA Q, et al. Research Droaress in liver transnlantation for acute-on-chronic liver failure[J]. J Shanghai Jiaotong Univ(Med Sci), 2021, 41(2): 257-261. DOI: 10.3969/j.issn.1674-8115.2021.02.021.

    张天翼, 于也萍, 夏强, 等. 肝移植治疗慢加急性肝衰竭研究进展[J]. 上海交通大学学报(医学版), 2021, 41(2): 257-261. DOI: 10.3969/j.issn.1674-8115.2021.02.021.
  • 加载中
计量
  • 文章访问数:  558
  • HTML全文浏览量:  140
  • PDF下载量:  84
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-02-19
  • 录用日期:  2021-04-16
  • 出版日期:  2021-09-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回