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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

董金玲,陈煜. 慢加急性肝衰竭长期预后转归等级分析:同病不同结局[J]. 临床肝胆病杂志, 2021, 37(9): 2030-2032. DOI: 10.3969/j.issn.1001-5256.2021.09.006
引用本文: 董金玲,陈煜. 慢加急性肝衰竭长期预后转归等级分析:同病不同结局[J]. 临床肝胆病杂志, 2021, 37(9): 2030-2032. DOI: 10.3969/j.issn.1001-5256.2021.09.006
DONG JL, CHEN Y. Prognostic grade of acute-on-chronic liver failure: Different outcomes of the same disease[J]. J Clin Hepatol, 2021, 37(9): 2030-2032. DOI: 10.3969/j.issn.1001-5256.2021.09.006
Citation: DONG JL, CHEN Y. Prognostic grade of acute-on-chronic liver failure: Different outcomes of the same disease[J]. J Clin Hepatol, 2021, 37(9): 2030-2032. DOI: 10.3969/j.issn.1001-5256.2021.09.006

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

详细信息
    通讯作者:

    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

Funds: 

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。

     

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  • 收稿日期:  2021-02-19
  • 修回日期:  2021-04-16
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