临床肝胆病杂志
臨床肝膽病雜誌
림상간담병잡지
CHINESE JOURNAL OF CLINICAL HEPATOLOGY
2015年
1期
135-138
,共4页
汤善宏%曾维政%蒋明德%范泉水
湯善宏%曾維政%蔣明德%範泉水
탕선굉%증유정%장명덕%범천수
肝功能衰竭%预后%综述
肝功能衰竭%預後%綜述
간공능쇠갈%예후%종술
liver failure%prognosis%review
肝衰竭是指多种原因导致肝细胞合成、解毒、排泄和生物转化等功能严重障碍,出现以凝血功能障碍、黄疸、肝性脑病、腹水等为主要表现的一组临床症候群,由于肝衰竭疾病凶险,因此预后判断对于其诊治具有重要意义。近年来对于肝衰竭预后判定报道屡见不鲜,回顾了有关血清学及综合模型的研究及应用,为临床肝衰竭患者合理治疗提供参考。
肝衰竭是指多種原因導緻肝細胞閤成、解毒、排洩和生物轉化等功能嚴重障礙,齣現以凝血功能障礙、黃疸、肝性腦病、腹水等為主要錶現的一組臨床癥候群,由于肝衰竭疾病兇險,因此預後判斷對于其診治具有重要意義。近年來對于肝衰竭預後判定報道屢見不鮮,迴顧瞭有關血清學及綜閤模型的研究及應用,為臨床肝衰竭患者閤理治療提供參攷。
간쇠갈시지다충원인도치간세포합성、해독、배설화생물전화등공능엄중장애,출현이응혈공능장애、황달、간성뇌병、복수등위주요표현적일조림상증후군,유우간쇠갈질병흉험,인차예후판단대우기진치구유중요의의。근년래대우간쇠갈예후판정보도루견불선,회고료유관혈청학급종합모형적연구급응용,위림상간쇠갈환자합리치료제공삼고。
Liver failure is a clinical syndrome with severe disorders of liver cells for biosynthesis,detoxication,excretion,and biological transformation,which presents with coagulation disorders,jaundice,hepatic encephalopathy,and ascites.Liver failure progresses rapidly, so the prediction of clinical outcome is significant for the diagnosis and treatment.In recent years,there have been numerous reports on the prediction of clinical outcome in patients with liver failure.The study and application of serological and comprehensive models are reviewed, which provides a reference for the rational therapy for liver failure patients.