急性肝功能衰竭
R Todd Stravitz1, William M Lee2
1Hume-Lee Transplant Center of Virginia Commonwealth University, Richmond, VA, USA.
Lancet (London, England)
|September 10, 2019
概括
急性肝衰竭是一种由快速肝细胞损伤引起的严重疾病,表现为氨基转移酶升高和脑功能变化. 肝脏移植仍然是一个重要选择.
科学领域:
- 肝病学
- 内部医学
- 毒理学
背景情况:
- 急性肝衰竭 (ALF) 是一种罕见的,严重的病症,其特征是肝细胞迅速损伤而没有先前存在的肝病.
- 它呈现出高氨基转移酶,变化的思维和凝血病.
- 区分ALF与非补偿性肝硬化对于适当的治疗至关重要.
研究的目的:
- 概述急性肝衰竭的主要特征,原因和诊断方法.
- 讨论当前的治疗策略及其对患者结果的影响.
- 突出肝移植在严重病例中的作用.
主要方法:
- 关于急性肝衰竭的现有文献和专家意见的审查.
- 分析常见的病因因子,包括药物毒性 (青),缺血,病毒性和自身免疫性肝炎.
- 强调诊断标准,包括药物史和血清检测.
主要成果:
- 一致的氨基转移酶升高,变化和干扰的凝血模式定义了ALF.
- 常见的原因包括麻醉剂毒性,病毒性肝炎和药物诱导的肝损伤.
- 尽管很少见,规模有限,但改善的治疗方法降低了死亡率.
结论:
- 急性肝衰竭需要及时诊断和治疗,考虑到不同的病因.
- 虽然医疗管理改善了结果,但肝移植仍然是近30%的患者的重要救生干预措施.
- 需要进一步的研究, 但目前专家指导的方法提高了生存率.
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