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肝硬化腹水发病机制中促成因素的最新见解。

Recent insights into contributing factors in the pathogenesis of cirrhotic ascites.

作者信息

Li Zhen, Zhu Junfeng, Ouyang Hao

机构信息

Department of Hepatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Department of Hepatology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Front Med (Lausanne). 2024 Sep 13;11:1376217. doi: 10.3389/fmed.2024.1376217. eCollection 2024.

Abstract

Cirrhotic ascites refers to the accumulation of fluid in the peritoneal cavity due to severe liver disease and impaired liver function, which leads to poor blood circulation in the body, increased pressure in the hepatic sinus wall, and the exudation of fluid from the plasma into the peritoneal cavity. Cirrhotic ascites is a common complication of cirrhosis and poses a threat to the health and lives of modern people, causing a heavy social burden worldwide. So far, there are no effective treatment methods available to improve the quality and quantity of life for patients and their partners; existing drugs can only alleviate the symptoms of cirrhotic ascites and slow down its progression. This article aims to carefully examine the pathogenesis of cirrhotic ascites by exploring various contributing factors such as portal hypertension, renal dysfunction, inflammation, growth factors, oxidative stress, immunocytes, and gut microbiota. The purpose is to gain better insights and deeper understanding of the mechanisms involved in this condition.

摘要

肝硬化腹水是指由于严重肝脏疾病和肝功能受损导致腹腔内液体积聚,这会导致体内血液循环不畅、肝窦壁压力升高,以及血浆中的液体渗入腹腔。肝硬化腹水是肝硬化的常见并发症,对现代人的健康和生命构成威胁,在全球范围内造成沉重的社会负担。到目前为止,尚无有效的治疗方法来改善患者及其伴侣的生活质量和数量;现有药物只能缓解肝硬化腹水的症状并减缓其进展。本文旨在通过探讨门静脉高压、肾功能不全、炎症、生长因子、氧化应激、免疫细胞和肠道微生物群等各种促成因素,仔细研究肝硬化腹水的发病机制。目的是更好地洞察和深入理解这种疾病所涉及的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52fa/11427383/7f7de018aa03/fmed-11-1376217-g001.jpg

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