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早期准确评估暴发性肝衰竭的预后非常困难,但对选择适宜的治疗手段,对于提高生存率、合理分配医疗资源,尤其是肝移植,有重要意义。迄今儿科领域尚无理想的暴发性肝衰竭预后评估方法。本文介绍成人领域已广泛使用的暴发性肝衰竭评估标准、模型和临床常用生化指标及其在儿科使用的现状。
Early accurate assessment of the prognosis of fulminant hepatic failure is very difficult, but the choice of appropriate treatment for improving survival and rational allocation of medical resources, especially liver transplantation, is of great significance. So far there is no ideal pediatric evaluation of fulminant hepatic failure prognosis. This article describes the evaluation criteria, models and common biochemical indicators of fulminant hepatic failure, which are widely used in adults, and their status in pediatric use.