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中国中西医结合学会,中华中医药学会,中华医学会.慢加急性肝衰竭中西医结合诊疗指南[J].北京中医药,2023,42(6):596-606.
.Guidelines for diagnosis and treatment of chronic acute liver failure with integrated traditional Chinese and western medicine[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(06):596-606.
中国中西医结合学会,中华中医药学会,中华医学会.慢加急性肝衰竭中西医结合诊疗指南[J].北京中医药,2023,42(6):596-606. DOI: 10.16025/j.1674-1307.2023.06.005.
.Guidelines for diagnosis and treatment of chronic acute liver failure with integrated traditional Chinese and western medicine[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(06):596-606. DOI: 10.16025/j.1674-1307.2023.06.005.
慢加急性肝衰竭(acute-on-chronic liver failure,ACLF)是在慢性肝病基础上,由各种诱因引起黄疸急性加深、凝血功能障碍等肝衰竭表现的临床症候群,以短期内出现多脏器功能衰竭及高病死率为主要特征。ACLF中医学属于“急黄”“瘟黄”“肝瘟”等范畴,目前临床上尚缺乏特效的内科治疗手段。本指南以解决中西医临床关键问题为导向,工作组参考PICO(Participants、Interventions、Comparisons、Outcomes)原则构建ACLF相关临床问题,遵循循证医学原则,在对近10年ACLF中西医结合临床疗效证据进行系统梳理和客观评价的基础上,参考最新发表的国际、国内相关诊疗指南和专家共识等,并广泛征求多学科专家的意见,最终形成《慢加急性肝衰竭中西医结合诊疗指南》,旨在为临床医师诊断和治疗ACLF提供指导和参考意见,进一步提高我国ACLF诊治水平。
慢加急性肝衰竭中西医结合实践指南
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