Ming Hui, He Yi, Xu Hong-Mei
Department of Infectious Diseases, Children's Hospital of Chongqing Medical University/National Clinical Research Center for Child Health and Disorders/Ministry of Education Key laboratory of Child Development and Disorders/Chongqing Key Laboratory of Child Infection and Immunity, Chongqing 400014, China (Xu H-M, Email: xuhongm0095@sina. com).
Zhongguo Dang Dai Er Ke Za Zhi. 2024 Feb 15;26(2):194-200. doi: 10.7499/j.issn.1008-8830.2309015.
Pediatric acute liver failure (PALF) is a rare and rapidly progressive clinical syndrome with a poor prognosis and significant mortality. The etiology of PALF is complex, and it presents with diverse and atypical clinical manifestations. Accurate diagnosis based on age-related factors, early recognition or prevention of hepatic encephalopathy, and precise supportive treatment targeting the underlying cause are crucial for improving outcomes and prognosis. This article provides a comprehensive review of recent research on the diagnosis and treatment of PALF, aiming to offer guidance for clinical practice.
小儿急性肝衰竭(PALF)是一种罕见且进展迅速的临床综合征,预后不良,死亡率高。PALF的病因复杂,临床表现多样且不典型。基于年龄相关因素进行准确诊断、早期识别或预防肝性脑病以及针对潜在病因进行精准的支持治疗对于改善结局和预后至关重要。本文全面综述了近期关于PALF诊断和治疗的研究,旨在为临床实践提供指导。