Thawley Vincent
Emergency and Critical Care Medicine, Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania, 3900 Delancey Street, Philadelphia, PA 19104, USA.
Vet Clin North Am Small Anim Pract. 2017 May;47(3):617-630. doi: 10.1016/j.cvsm.2016.11.010. Epub 2017 Jan 6.
Acute liver injury and acute liver failure are syndromes characterized by a rapid loss of functional hepatocytes in a patient with no evidence of pre-existing liver disease. A variety of inciting causes have been identified, including toxic, infectious, neoplastic, and drug-induced causes. This article reviews the pathophysiology and clinical approach to the acute liver injury/acute liver failure patient, with a particular emphasis on the diagnostic evaluation and care in the acute setting.
急性肝损伤和急性肝衰竭是以无既往肝病证据的患者功能性肝细胞快速丧失为特征的综合征。已确定多种诱发原因,包括毒性、感染性、肿瘤性和药物性原因。本文综述了急性肝损伤/急性肝衰竭患者的病理生理学和临床处理方法,尤其着重于急性情况下的诊断评估和治疗。