O'Brien Christopher B
Divisions of Liver and Gastrointestinal Transplantation, Center for Liver Diseases, University of Miami Miller School of Medicine, 1500 NW 12th Avenue, Suite #1101 Miami, FL 33136, USA.
Clin Liver Dis. 2009 May;13(2):179-92. doi: 10.1016/j.cld.2009.02.010.
Evaluation of abnormal liver function tests (LFTs) in the hospitalized patient is typically more urgent than the outpatient setting. This process is best organized into four steps. The first step is to determine whether the abnormal LFTs are associated with the illness resulting in the admission to the hospital or preceded the present illness. The second is to determine the etiology of the underlying liver disease. The third step is to evaluate the severity of the liver dysfunction and determine if acute liver failure (ALF) or acute decompensation of chronic liver failure is present. The final step is to look for the presence of associated complications-either those of ALF or chronic liver failure as appropriate.
对住院患者异常肝功能检查（LFTs）的评估通常比门诊情况更为紧急。这个过程最好分为四个步骤。第一步是确定异常的肝功能检查结果是否与导致住院的疾病相关，还是先于当前疾病出现。第二步是确定潜在肝病的病因。第三步是评估肝功能障碍的严重程度，并确定是否存在急性肝衰竭（ALF）或慢性肝衰竭急性失代偿。最后一步是寻找相关并发症的存在——视情况而定，无论是急性肝衰竭还是慢性肝衰竭的并发症。
