[肝硬化]。

Q4 Medicine Praxis Pub Date : 2023-09-01
Robert Brenig, Christine Bernsmeier
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引用次数: 0

摘要

导语:肝硬化是一种常见病,发病率高,死亡率高。在工业化国家,肝硬化最常见的原因是酒精性肝病、非酒精性脂肪性肝病和慢性病毒性肝炎。肝硬化通常诊断较晚,因为它可能长期无症状。因此,在存在慢性肝病的情况下,对高危患者进行肝病筛查和使用超声监测纤维化是至关重要的。肝活检是必要的,以确认诊断。在某些情况下,通过最佳治疗,肝硬化是可以预防的,在其他情况下可能是可逆的。在以腹水为特征的失代偿期,除非通过肝移植治愈,否则患者通常死于复发性感染或肝细胞癌。并发症的预防和治疗以及移植的评估需要与中心医院合作。
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[Liver Cirrhosis].

Introduction: Cirrhosis is a common disease with high morbidity and mortality. In industrialised countries, the most common causes of cirrhosis are the alcoholic liver disease, non-alcoholic fatty liver disease and chronic viral hepatitis. Cirrhosis is often diagnosed late, as it can be asymptomatic for a long time. Therefore, hepatopathy screening in high-risk patients and fibrosis surveillance using the ultrasound, in the presence of a chronic hepatopathy are essential. A liver biopsy is necessary to confirm the diagnosis. With optimal therapy, in some cases, cirrhosis is preventable and potentially reversible in others. In the stage of decompensation, typically characterised by ascites, patients often die from recurrent infections or hepatocellular carcinoma unless cured by liver transplantation. The prevention and treatment of complications as well as the evaluation of a transplant require cooperation with a centre hospital.

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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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