Baidu
map

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:

相关资料下载:
[AttachmentFileName(sort=100, fileName=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))] GetToolGuiderByIdResponse(projectId=1, id=ea4fa1c001ea73da, title=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), enTitle=, guiderFrom=中华消化外科杂志.2019.18(4):297-302., authorId=null, author=, summary=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, cover=, journalId=null, articlesId=null, associationId=1196, associationName=中国研究型医院学会肝胆胰外科专业委员会, associationIntro=中国研究型医院学会肝胆胰外科专业委员会, copyright=0, guiderPublishedTime=Tue Apr 30 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<div>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)》。</div> <div><br> </div>拓展指南:<strong>与<font color=red>肝硬化</font>相关指南:</strong><br><ul><li><a href="//m.capotfarm.com/guideline/show_article.do?id=5a0be1c00169355f" title="2018 中国肝硬化腹水及相关并发症的管理指南-英文版" target=_blank>2018 中国肝硬化腹水及相关并发症的管理指南-英文版</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=8d2b21c0016518be" title="肝硬化肝性脑病诊疗指南" target=_blank>肝硬化肝性脑病诊疗指南</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=cf74f1c001618976" title="欧洲失代偿期肝硬化并发症管理指南简介" target=_blank>欧洲失代偿期肝硬化并发症管理指南简介</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=c7ce11c001580a9d" title="EASL临床实践指南:失代偿性肝硬化患者的管理" target=_blank>EASL临床实践指南:失代偿性肝硬化患者的管理</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=21a6d1c001531356" title="《肝硬化腹水及相关并发症的诊疗指南》解读" target=_blank>《肝硬化腹水及相关并发症的诊疗指南》解读</a></li> 更多信息请点击:<a href="//m.capotfarm.com/guideline/list.do?q=%E8%82%9D%E7%A1%AC%E5%8C%96" target=_blank>有关肝硬化更多指南</a></ul>, tagList=[TagDto(tagId=492, tagName=肝硬化), TagDto(tagId=91062, tagName=肝切除术后肝功能不全)], categoryList=[CategoryDto(categoryId=22, categoryName=肝病, tenant=100), CategoryDto(categoryId=91, categoryName=肝胆胰外科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=16811, appHits=360, showAppHits=6, pcHits=10319, showPcHits=7268, likes=85, shares=21, comments=7, approvalStatus=1, publishedTime=Thu Jun 13 22:45:24 CST 2019, publishedTimeString=2019-04-30, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Thu Jun 13 22:45:24 CST 2019, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 19:24:55 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=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))])
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)
下载请点击:
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1061953, encodeId=3f251061953f2, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061938, encodeId=7852106193857, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:54:14 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061894, encodeId=0e921061894e4, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:41:22 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054856, encodeId=c71b105485643, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=TYwe, createdTime=Sun Sep 26 08:18:34 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=902010, encodeId=cc3b90201057, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=1e20360cm29(暂无匿称), createdTime=Wed Nov 25 00:11:33 CST 2020, time=2020-11-25, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

    非常好的文章,受益匪浅。

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1061953, encodeId=3f251061953f2, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061938, encodeId=7852106193857, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:54:14 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061894, encodeId=0e921061894e4, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:41:22 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054856, encodeId=c71b105485643, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=TYwe, createdTime=Sun Sep 26 08:18:34 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=902010, encodeId=cc3b90201057, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=1e20360cm29(暂无匿称), createdTime=Wed Nov 25 00:11:33 CST 2020, time=2020-11-25, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

    非常好的文章,受益匪浅。

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1061953, encodeId=3f251061953f2, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061938, encodeId=7852106193857, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:54:14 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061894, encodeId=0e921061894e4, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:41:22 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054856, encodeId=c71b105485643, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=TYwe, createdTime=Sun Sep 26 08:18:34 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=902010, encodeId=cc3b90201057, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=1e20360cm29(暂无匿称), createdTime=Wed Nov 25 00:11:33 CST 2020, time=2020-11-25, status=1, ipAttribution=)]
    2021-10-19 湘雅科教

    不错

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1061953, encodeId=3f251061953f2, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061938, encodeId=7852106193857, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:54:14 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061894, encodeId=0e921061894e4, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:41:22 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054856, encodeId=c71b105485643, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=TYwe, createdTime=Sun Sep 26 08:18:34 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=902010, encodeId=cc3b90201057, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=1e20360cm29(暂无匿称), createdTime=Wed Nov 25 00:11:33 CST 2020, time=2020-11-25, status=1, ipAttribution=)]
    2021-09-26 TYwe

    实用

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1061953, encodeId=3f251061953f2, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:56:33 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061938, encodeId=7852106193857, content=非常好的文章,受益匪浅。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:54:14 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1061894, encodeId=0e921061894e4, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Tue Oct 19 16:41:22 CST 2021, time=2021-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054856, encodeId=c71b105485643, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=TYwe, createdTime=Sun Sep 26 08:18:34 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=902010, encodeId=cc3b90201057, content=感谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aefc2017151, createdName=1e20360cm29(暂无匿称), createdTime=Wed Nov 25 00:11:33 CST 2020, time=2020-11-25, status=1, ipAttribution=)]
    2020-11-25 1e20360cm29(暂无匿称)

    感谢分享

    0

Baidu
map
Baidu
map
Baidu
map