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Published on: February 10, 2018
[Advances in the pathogenesis of pre-hepatic failure]
1Department of Infectious Diseases, Southwest Hospital, Third Military Medical University; Chongqing Key Laboratory of Infectious Diseases, Chongqing 400038, China.
Insights
Early identification of pre-hepatic failure, a critical stage before severe liver disease, is key. This "golden window" allows for timely intervention, potentially reducing liver failure incidence and mortality.
Area of Science:
- Hepatology
- Internal Medicine
- Clinical Research
Background:
- Domestic scholars identify a
Purpose of the Study:
- To introduce research progress on the substantive connotation and pathogenesis of pre-hepatic failure.
- To highlight the significance of the pre-hepatic failure stage as a critical window for intervention.
Main Methods:
- Review of existing literature and clinical guidelines.
- Analysis of pathophysiological mechanisms related to acute liver injury and immune derangement.
Main Results:
- Pre-hepatic failure is recognized as a distinct stage preceding sub-acute and acute-on-chronic liver failure.
- This stage is characterized by acute liver injury/acute decompensation and inflammatory/immunologic derangement.
Conclusions:
- Early identification and intervention during the pre-hepatic failure stage are crucial for reducing liver failure incidence and mortality.
- Further research is needed to explore unresolved issues in the understanding and management of pre-hepatic failure.
Abstract:
Domestic scholars recognize that patients have a "pre-hepatic failure" before they progress to sub-acute and acute-on-chronic liver failure stage, which is also the golden window for effective clinical intervention, so early identification and intervention during this period can reduce the incidence and mortality of liver failure. The Guidelines for the Diagnosis and Treatment of Liver Failure (2018 Edition) issued by the Chinese Medical Association clearly defines the "pre-stage" of liver failure. And from the perspective of pathophysiological mechanism, the pre-hepatic failure corresponds to the stage of acute liver injury/acute decompensation, inflammation factor/ immunologic derangement. This article briefly introduces the research progress on substantive connotation and pathogenesis of pre-hepatic failure, and puts forward some problems to be explored in the future.
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