《ICU中成人急性肝衰竭和急性-慢性肝衰竭的管理指南:神经病学、围移植期医学、感染性疾病和胃肠病学注意事项》解读  

Interpretation of the guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU:neurology,peri-transplant medicine,infectious disease,and gastroenterology considerations

作　　者：郑以山[1] 颜骏 刘军[2] ZhengYishan;Yan Jun;Liu Jun(Department of Critical Care Medicine,Jiangsu Infectious Disease Hospital,Nanjing Second Hospital,Nanjing 210003,China;Department of Critical Care Medicine,Suzhou Critical Care Medicine Clinical Medical Center,Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou Municipal Hospital,Suzhou 215001,China)

机构地区：[1]南京市第二医院,江苏省传染病医院重症医学科,南京210003 [2]苏州市重症医学临床医学中心,南京医科大学附属苏州医院,苏州市立医院ICU,苏州215001

出　　处：《中华重症医学电子杂志》2024年第3期214-217,共4页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

基　　金：江苏省社会发展——面上项目(BE2021660);苏州市科技计划项目(SKY2023197);昆山市重点研发计划项目(KSF202105)

摘　　要：2023年5月美国危重病学会针对ICU中成人急性肝衰竭(ALF)和急性-慢性肝衰竭(ACLF)的神经病学、围移植期、感染病和胃肠病病情评估和管理策略,综合了最新的临床相关研究,发布了临床管理指南,提出了28条具有临床实践价值的推荐意见及核心观点,对指导ICU中成人ALF和ACLF诊疗实践具有重要的临床价值。本文通过解读该指南,以期推动临床医师尤其是重症医师深入理解与科学运用该指南。In May 2023,the American Society of Critical Care evaluated the neurology,peritransplant,infectious and gastrointestinal disease of acute liver failure(ALF)and acute-on-chronic liver failure(ACLF)in ICU,integrated the latest clinical relevant studies,issued clinical management guidelines,put forward 28 recommendations and core points with clinical practice value,which has important clinical value in guiding the diagnosis and treatment practice of ALF and ACLF in ICU.By interpreting the guide,this paper encourages clinicians,especially critical care physicians,to deeply understand and apply the guide scientifically.

关 键 词：美国危重病学会 指南 急性肝衰竭 急性-慢性肝衰竭 解读 

分 类 号：R575.3[医药卫生—消化系统]