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肝硬化的临床轨迹:为内科医生进行基于证据的重新评估
Rosa Zampino1, Fabian Patauner2, Emanuele Durante-Mangoni3
1Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", P.zza L. Miraglia 2, 80138 Napoli, Italy; Unit of Internal Medicine & Transplants, A.O.R.N. Ospedali dei Colli - Ospedale Monaldi, Piazzale Ettore Ruggieri, 80131 Napoli Italy.
晚期肝病现在被视为一种临床疾病,而不仅仅是基于组织. 这份洞察力回顾了最近在识别和管理临床上晚期慢性肝病方面的进展.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
- 临床胃肠病学 临床胃肠病学
背景情况:
- 肝硬化的概念化已经从纯粹的组织病理学诊断转移到临床诊断.
- 近年来,肝病的认知和风险分层方式发生了重大变化.
研究的目的:
- 总结一下晚期慢性肝病临床识别的最新进展.
- 概述目前对临床晚期肝病风险分层和管理的方法.
主要方法:
- 审查最近的文献和临床指导方针.
- 综合当前对"临床"晚期慢性肝病的理解.
主要成果:
- 肝硬化病的临床识别正在发展.
- 风险分层策略正在根据临床参数进行改进.
- 管理方法正在适应疾病的临床概念化.
结论:
- 晚期肝病最好作为临床综合征来理解和管理.
- 更新的识别方法和风险分层对于患者的治疗结果至关重要.
- 这份临床见解提供了该领域最新进展的总结.
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