新技術(shù)在慢加急性肝衰竭全病程管理中的轉(zhuǎn)化與落地

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通信作者:,haili_17@126.com(ORCID:0000-0003-4174-9758)
Translation and implementation of new technologies in the whole-course management of acute-on-chronic liver failure
HEKai,LIHai
DepartmentofGastroenterology,hanghaiIstituteofDigestiveDisease,RenjiHospitalhanghi JiaoTongUniversityhoolo Medicine,Shanghai200001,China
Correspondingauthor:LI Hai,haili_17@126.com(ORCID:0000-0003-4174-9758)
Abstract:Acute-on-chronicliverfailue(ACLF)isaformofacutehepaticinsuficiencythatoccursinthecontextofachronic liverdisease,witharelativelyhighmortalityrate.ToimprovetheprognosisofACLFpatints,itissentialtoarlyidentifythe patients withpre-ACLFandconstantlyoptimizeandinovatetreatmentregimensforthediseaseintheprogresivestage.Wih more than10yearsofresearch,the Chinese CLIFconsortiumhasdevelopedanearlywarning modelforACLFand establishedasystem fortransferinghigh-riskpatients totertiaryhospitals.Atpresent,thereal-worldstudyhasalsoconfimedtheconsistencybetwen theearlywarningmodelandactualconditions inclinical practice,makingcontributions totheearlysreening,diagnosis,and treatmentofACLF.ThetreatmentoptionsfortheprogressivestageofACLFarealsoexpanding,fromthedevelopmentofiovative pharmaceuticalstotheuseofartificialliversupportandstemcelltherapy,andsuchtreatment modalities have madesignificant achievementsinclinicalstudiesandareexpectedtobeimplementedinthenearfuture.Thedevelopmentofamoreeicient diagnosticsystemandnovel treatmentmodalitieshasled toasignificantimprovementinthediagnosisandtreatmentofCLF.
KeyWords:Acute-On-Chronic Liver Failure;Early Diagnosis;Therapeutics;Prognosis
1慢加急性肝衰竭(ACLF)全病程的兩階段特征
ACLF作為肝衰竭中的主要類型,具有短期病死率高和病情發(fā)展迅猛的特點[1]。(剩余12233字)