在儿童中炎和慢性肝病
Rishi Bolia1, Anshu Srivastava2
1Department of Gastroenterology, Hepatology and Liver Transplant, Queensland Children's Hospital, 501, Stanley Street, South Brisbane, Queensland, 4101, Australia.
Indian journal of pediatrics
|June 13, 2023
概括
患有慢性肝病的儿童的炎意味着预后不佳. 管理包括限制,利尿剂,体,及时抗生素治疗感染.
科学领域:
- 儿科胃肠病学和肝病学
- 内部医学 内部医学
- 临床管理 临床管理
背景情况:
- 炎是儿科慢性肝病中最常见的失补偿,与糟糕的结果和死亡率有关.
- 诊断体对于新发,住院和疑似体液感染 (AFI) 非常重要.
- 门性高血压是通过血清酸蛋白梯度 (≥1.1 g/dL) 来诊断的.
研究的目的:
- 概述患有肝脏疾病的儿童的诊断标准.
- 详细介绍了肝硬化和耐火性炎的管理策略.
- 为了突出并发症及其治疗.
主要方法:
- 常规的分析分析包括细胞计数,差异,细菌培养,总蛋白质和专蛋白.
- 血清白蛋白-性流体白蛋白梯度的计算.
- 管理策略:饮食中的限制,利尿剂 (螺旋乳,罗西米德),大体积体 (LVP),以及对AFI的抗生素治疗.
主要成果:
- 发生在儿童肝脏疾病中,无论是肝硬化还是非肝硬化.
- 有效的管理涉及限制,利尿剂和LVP的紧张.
- 炎流体感染 (AFI) 需要立即使用抗生素干预.
结论:
- 患有肝脏疾病的儿童的炎需要及时诊断和管理.
- 关键干预措施包括流体/饮食管理,体,以及解决像AFI这样的并发症.
- 耐火性炎可能需要先进的干预措施,如分流或肝移植.
相关概念视频
Diseases of the Liver and Gallbladder
692
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
692
Chronic Bowel Disorders: Introduction
492
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
492
Esophageal Varices-II: Clinical Features and Management
100
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
100
Chronic Pancreatitis I: Introduction
116
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
116
Chronic Pancreatitis II: Collaborative Care
116
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
116
Inflammatory Bowel Disease I: Ulcerative Colitis
227
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
227


