Severe alcoholic hepatitis ( SAH) is a severe manifestation of alcoholic liver disease, which is associated with high mortality and presence of liver failure or complications, so optimized treatment strategies are needed to improve the survival of SAH patients. For SAH, the management is based on alcohol abstinence, and nutritional support is also necessary; glucocorticoid therapy is still the key of treatment. The patient's condition and treatment outcome can be evaluated according to the Maddrey discriminant function and Lille and MELD scores. Attention should also be paid to the prevention and treatment of complications such as infection and hepatorenal syndrome. Early liver transplantation can be considered for severe patients.
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