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关注重症肝病临床管理的热点问题
Hotspots in clinical management of severe liver diseases
文章发布日期:2017年08月04日  来源:  作者:吕佳昱,韩涛  点击次数:1349次  下载次数:323次

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【摘要】:肝衰竭、急性失代偿期肝硬化等重症肝病病情危重,病死率高,其预后与早期预警、及时动态评估、综合有效的治疗密切相关。患者需要祛除致病因素、器官支持、并发症防治等一系列有效的临床管理措施。内科治疗-人工肝-肝移植是目前重症肝病的重要治疗模式。粒细胞集落刺激因子、干细胞治疗、生物型人工肝等新的探索曙光在前,非选择性β受体阻滞剂仍存在一定争议。
【Abstract】:Severe liver diseases such as liver failure and acute decompensated cirrhosis have critical conditions and high mortality rates, and the prognosis of such patients is closely associated with early warning, timely dynamic assessment, and comprehensive and effective therapy. The patients require a series of effective clinical management measures for elimination of causative factors, organ support, and prevention and treatment of complications. Medical treatment-artificial liver-liver transplantation is an important modality for severe liver diseases. Granulocyte colony-stimulating factor, stem cell therapy, and bioartificial liver have a promising future, while there are still controversies over non-selective β-blocker. This article reviews the hotspots in the clinical management of severe liver diseases.
【关键字】:肝功能衰竭; 肝硬化; 肝, 人工; 肝移植; 诊断; 治疗; 述评
【Key words】:liver failure; liver cirrhosis; liver, artificial; liver transplantation; diagnosis; treatment; editorial
【引证本文】:吕佳昱, 韩涛. 关注重症肝病临床管理的热点问题[J]. 临床肝胆病杂志, 2017, 33(9): 1617-1620.

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