Imperial College Healthcare NHS Trust, London, UK
Imperial College Healthcare NHS Trust, London, UK.
Clin Med (Lond). 2019 Jan;19(1):43-46. doi: 10.7861/clinmedicine.19-1-43.
Age-standardised mortality from liver disease in the United Kingdom has risen by 400% since 1970, with three-quarters of deaths from alcohol-related liver disease (ARLD). The 2013 National Confidential Enquiry into Patient Outcome and Death report found that only 47% of the patients dying in hospital from liver disease experienced 'good' care. We discuss common complications in the care of patients with ARLD and the evidence-based best practice that can improve patient outcomes, with a focus on the initial management of patients presenting acutely to the medical take.
自 1970 年以来，英国因肝病导致的标准化死亡率上升了 400%，其中四分之三的死亡病例与酒精性肝病（ALD）相关。2013 年国家患者结局和死亡机密调查显示，仅有 47%的在院肝病死亡患者得到了“良好”的治疗。我们讨论了在 ALD 患者护理中常见的并发症，以及可以改善患者预后的基于证据的最佳实践，重点关注急性就诊患者的初始管理。
