Hotspots and management strategies for liver failure diagnosis and treatment
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摘要:
随着诊治水平的提高,肝衰竭患者的生存率正在得到改善。近年来,肝衰竭的诊断和治疗有了一些重要进展,具体包括:欧洲肝病学会(EASL)定义的慢加急性肝衰竭标准在东方人群的适用性得到验证,EASL标准更为准确地划分了需要肝移植的人群;肝功能不全患者急性肾损伤的诊断标准得到更新,新的标准能更早发现肾损伤;血管活性药物对肝肾综合征的神经体液调节机制、疗效预测因子逐渐明确;粒细胞集落刺激因子和β受体阻滞剂在肝衰竭患者中的应用观念正在发生重大改变。
Abstract:Liver failure is a threat to human health. The survival of patients has been increased with the improvement in both diagnosis and treatment. Several major advances in the diagnosis and treatment of liver failure have been made in recent years,as follows: the EASL-defined diagnostic criteria for acute-on-chronic liver failure have been validated in the Eastern population,defining more accurately those who need liver transplantation; the diagnostic criteria for acute kidney injury in patients with liver dysfunction have been updated,and the new criteria are able to discover patients with kidney injury earlier; the neurohumoral regulation mechanism and factors predicting the efficacy of vasoactive agents in hepatorenal syndrome have been gradually determined; the concepts of use of granulocyte-colony stimulating factor and β-receptor blocker in liver failure are undergoing fundamental changes.
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Key words:
- liver failure /
- diagnosis /
- therapy
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