系统性并发症 继慢性肝病后的系统性并发症
Rory Mannion1, Emer Fitzpatrick2,3
1Department of Gastroenterology and Hepatology, Children's Health Ireland Crumlin, Dublin, Ireland.
Indian journal of pediatrics
|July 13, 2023
概括
慢性肝病 (CLD) 导致严重的系统性并发症,影响肝脏以外的器官,包括肺,心脏,脏,大脑和骨. 医疗保健提供者必须警地监测患有CLD的儿童的这些肝外症状.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
- 儿科 儿科 儿科
背景情况:
- 慢性肝病 (CLD) 通过门性高血压,营养不良和炎症导致全身并发症.
- 这些并发症会影响多个器官系统,经常潜伏或在急性失补偿期间出现.
研究的目的:
- 审查儿童中CLD的肝外表现.
- 提供对这些次要并发症的定义,诊断,病理生理学,管理和预后的概述.
主要方法:
- 文献综述侧重于CLD的系统性后果.
- 综合有关器官特异性并发症及其潜在机制的信息.
主要成果:
- 门高血压有助于肝肺综合征,门肺高血压和胃肠道问题.
- 末期肝病与心肌病变,肝综合征,肝脑病变和免疫损害有关.
- 骨并发症,如骨质疏松症和肝脏关节病,在儿科CLD中观察到.
结论:
- 慢性肝炎显著影响肝外器官,需要医疗保健提供者的警监测.
- 了解这些系统性影响对于管理CLD及其并发症至关重要,包括肝移植期间.
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