乙型肝炎慢加急性肝衰竭诊疗的新策略与新进展
New strategies and advances on diagnosis and treatment of patients with HBV related acute-on-chronic liver failure
我国以乙型肝炎病毒感染引起的肝衰竭常见,其中慢加急性肝衰竭是最主要的类型,其病死率高,发病过程复杂,临床诊治难度大.近年来,慢加急性肝衰竭的诊疗有较大的进展,本文结合国内外的研究现状探讨乙型肝炎慢加急性肝衰竭诊疗的新策略与新进展,内容涵盖定义、发病机制、治疗及预后评估等方面.
更多Liver failure caused by hepatitis B virus (HBV) infection is common in China, among which acute-on-chronic liver failure (ACLF) is the main type.Because the pathogenesis is complex and the diagnosis and treatment is difficult,HBV related ACLF has high mortality.In recent years, some progress has achieved in diagnosis and therapy of ACLF.This article reviews the new strategies and advances about HBV related ACLF on basis of researches at home and abroad,including the definition, mechanisms, management and prognosis assessment of ACLF.
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