Maschmeier Miriam, Hüsing Anna, Schmidt Hartmut, Kabar Iyad
Klinik für Transplantationsmedizin, Uniklinik Münster.
Dtsch Med Wochenschr. 2015 Oct;140(20):1514-6. doi: 10.1055/s-0041-105973. Epub 2015 Oct 7.
The prevalence of liver cirrhosis in the German population is about 1 %. Clinically, compensated liver cirrhosis should be distinguished from decompensated cirrhosis with poor prognosis. Decompensated cirrhosis is defined by the occurrence of complications and consequences of portal hypertension (such as ascites, variceal bleeding, hepatic encephalopathy and hepatorenal syndrome) and progressive liver failure. Optimizing the management of these patients in the intensive care unit could essentially improve their outcome.
德国人群中肝硬化的患病率约为1%。临床上，应将代偿期肝硬化与预后较差的失代偿期肝硬化区分开来。失代偿期肝硬化由门静脉高压的并发症和后果（如腹水、静脉曲张出血、肝性脑病和肝肾综合征）以及进行性肝功能衰竭来定义。在重症监护病房优化对这些患者的管理可从根本上改善其预后。
