肝硬化患者肝切除术后肝功能不全的预防与治疗专家共识(2019版)

2019-04-30 中国研究型医院学会肝胆胰外科专业委员会 中华消化外科杂志.2019.18(4):297-302.

肝硬化是以一种或多种病因反复作用形成的以肝实质弥漫性纤维化、假小叶和再生结节形成为特征的慢性进行性肝病。多种肝胆疾病可导致肝硬化的发生,如病毒性肝炎、药物性肝炎、肝豆状核变性、弥漫性胆管阻塞等。在肝硬化基础上又可发生肝细胞癌等继发性病变。肝硬化患者的肝储备功能和再生能力均显著降低,因此.限制了肝切除的范围.尤其是大范围肝切除可引发术后肝功能不全,甚至危及患者生命。 由于对肝硬化患者肝切除术后肝功能

中文标题:

肝硬化患者肝切除术后肝功能不全的预防与治疗专家共识(2019版)

发布日期:

2019-04-30

简要介绍:

肝硬化是以一种或多种病因反复作用形成的以肝实质弥漫性纤维化、假小叶和再生结节形成为特征的慢性进行性肝病。多种肝胆疾病可导致肝硬化的发生,如病毒性肝炎、药物性肝炎、肝豆状核变性、弥漫性胆管阻塞等。在肝硬化基础上又可发生肝细胞癌等继发性病变。肝硬化患者的肝储备功能和再生能力均显著降低,因此.限制了肝切除的范围.尤其是大范围肝切除可引发术后肝功能不全,甚至危及患者生命。 由于对肝硬化患者肝切除术后肝功能不全的认识不够充分、诊断标准不统一.手术方式和安全肝切除体积的掌控都缺乏共识意见,导致临床上其预防与治疗缺乏明确的专家指导意见。严重影响患者预后。为了最大程度降低肝硬化患者肝切除术后肝功能不全发生率及病死率,中国研究型医院学会肝胆胰外科专业委员会组织国内经验丰富的相关领域专家,经过反复论证,共同制订了《肝硬化患者肝切除术后肝功能不全的预防与治疗专家共识(2019版)》。

拓展指南:肝硬化相关指南:

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肝硬化患者肝切除术后肝功能不全的预防与治疗专家共识(2019版)
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    2021-10-19 湘雅科教

    非常好的文章,受益匪浅。

    0

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    2021-10-19 湘雅科教

    非常好的文章,受益匪浅。

    0

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    2021-10-19 湘雅科教

    不错

    0

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    2021-09-26 TYwe

    实用

    0

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    2020-11-25 1e20360cm29(暂无匿称)

    感谢分享

    0