Nguyen-Tang T, Hadengue A, Spahr L
Service de gastroenterologie et d'hépatologie, HUG, 1211 Genève 14.
Rev Med Suisse. 2006 Sep 6;2(77):1974-8.
Prolonged abstinence from alcohol is crucial in the management and prognosis of a patient with alcoholic cirrhosis. It is also important to prevent complications such as variceal bleeding, hepatocellular and extrahepatic cancers, and malnutrition. Liver transplantation should be considered in patients with persistent liver failure in spite of complete cessation of alcohol consumption. We provide some recommendations in commonly encountered clinical situations for compensated and decompensated alcoholic cirrhosis.
长期戒酒对酒精性肝硬化患者的管理和预后至关重要。预防诸如静脉曲张出血、肝细胞癌和肝外癌症以及营养不良等并发症也很重要。尽管已完全戒酒,但对于持续存在肝功能衰竭的患者,应考虑进行肝移植。我们针对代偿期和失代偿期酒精性肝硬化常见的临床情况提供了一些建议。