剧烈的肝衰竭是指严重的肝衰竭
William Bernal1, Georg Auzinger, Anil Dhawan
1Liver Intensive Therapy Unit, Institute of Liver Studies, King's College Hospital, London, UK. william.bernal@kcl.ac.uk
急性肝衰竭是一种严重的疾病,在发展中国家通常是由病毒引起的,在西方国家则是. 紧急肝移植和支持性护理方面的进展正在改善患者的生存率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 临界护理医学 临界护理医学
- 传染性疾病 传染性疾病
背景情况:
- 急性肝衰竭 (ALF) 是一种罕见但严重的临床综合征,死亡率高,医疗费用高.
- 在全球范围内,ALF的病因有所不同,病毒性肝炎 (尤其是肝炎E) 在发展中国家占主导地位.
- 在西方国家,药物诱导的肝损伤 (DILI),特别是来自片过量服用的肝损伤,现在是主要原因,尽管许多病例仍然是特异性的.
研究的目的:
- 为了概述目前对急性肝衰竭的理解.
- 讨论全球ALF不断变化的病因格局.
- 突出管理方面的进步和改善结果的未来方向.
主要方法:
- 关于急性肝衰竭流行病学,原因和管理的当前文献的综述.
- 分析不同地理区域ALF病因的趋势.
- 讨论肝移植和支持性护理策略的作用.
主要成果:
- 病毒性肝炎在发展中国家仍然是ALF的主要原因,而DILI,主要是由类引起的,在工业化国家更为常见.
- 很大一部分ALF病例没有明确可识别的原因.
- 紧急肝移植显著提高了ALF患者的生存率.
结论:
- 急性肝衰竭的病因在地理上是多样化的,并且在不断发展.
- 改善的支持性护理和及时的肝移植对于管理ALF至关重要.
- 进一步研究病理生理学,特别是肝脏脑病变,有望提高生存率.
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