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肝性休克的鉴别诊断与危险因素:一篇综述文章

Hepatic Shock Differential Diagnosis and Risk Factors: A Review Article.

作者信息

Soleimanpour Hassan, Safari Saeid, Rahmani Farzad, Nejabatian Arezu, Alavian Seyed Moayed

机构信息

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran.

Department of Anesthesiology, Iran University of Medical Sciences, Tehran, IR Iran.

出版信息

Hepat Mon. 2015 Oct 10;15(10):e27063. doi: 10.5812/hepatmon.27063. eCollection 2015 Oct.

Abstract

CONTEXT

Liver as an important organ has a vital role in physiological processes in the body. Different causes can disrupt normal function of liver. Factors such as hypo-perfusion, hypoxemia, infections and some others can cause hepatic injury and hepatic shock.

EVIDENCE ACQUISITION

Published research resources from 2002 to May 2015 in some databases (PubMed, Scopus, Index Copernicus, DOAJ, EBSCO-CINAHL, Science direct, Cochrane library and Google scholar and Iranian search database like SID and Iranmedex) were investigated for the present study.

RESULTS

Different causes can lead to hepatic shock. Most of these causes can be prevented by early resuscitation and treatment of underlying factors.

CONCLUSIONS

Hepatic shock is detected in ill patients, especially those with hemodynamic disorders. It can be prevented by early treatment of underlying disease. There is no definite treatment for hepatic shock and should be managed conservatively. Hepatic shock in patients can increase the mortality rate.

摘要

背景

肝脏作为重要器官,在人体生理过程中起着至关重要的作用。不同原因可破坏肝脏的正常功能。诸如低灌注、低氧血症、感染等因素以及其他一些因素可导致肝损伤和肝休克。

证据获取

本研究调查了2002年至2015年5月期间在一些数据库(PubMed、Scopus、哥白尼索引、DOAJ、EBSCO - CINAHL、科学Direct、考克兰图书馆、谷歌学术以及伊朗搜索数据库如SID和Iranmedex)中发表的研究资源。

结果

不同原因可导致肝休克。这些原因大多可通过早期复苏和对潜在因素的治疗来预防。

结论

肝休克在患病患者中被检测到,尤其是那些有血流动力学紊乱的患者。它可通过对基础疾病的早期治疗来预防。肝休克尚无确切的治疗方法,应进行保守处理。患者发生肝休克会增加死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9997/4644574/0837630667e1/hepatmon-15-10-27063-i001.jpg

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