慢性肝病患者的综合护理

Comprehensive Care of Patients with Chronic Liver Disease.

作者信息

James Jocelyn, Liou Iris W

机构信息

Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Box 359892, 325 9th Avenue, Seattle, WA 98104, USA.

Division of Gastroenterology, Department of Medicine, University of Washington, Box 356175, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

出版信息

Med Clin North Am. 2015 Sep;99(5):913-33. doi: 10.1016/j.mcna.2015.05.001. Epub 2015 Jul 2.

DOI:10.1016/j.mcna.2015.05.001

PMID:26320039

Abstract

Chronic liver disease results from a wide range of conditions, for which individual management is beyond the scope of this article. General education, counseling, and harm reduction practices are important to the primary care of these patients, as are monitoring for cirrhosis and management of its complications. For patients with advanced liver disease, comprehensive care includes considering referral for liver transplantation, educating and empowering patients to prioritize goals of care, and optimizing symptom relief.

摘要

慢性肝病由多种情况引起，本文不涉及对这些情况的个体化管理。一般教育、咨询和减少伤害措施对这些患者的初级护理很重要，监测肝硬化及其并发症的管理也是如此。对于晚期肝病患者，全面护理包括考虑转介进行肝移植、教育患者并使其有能力确定护理目标的优先级，以及优化症状缓解。