中西醫(yī)結(jié)合在慢加急性肝衰竭全病程管理中的特色和優(yōu)勢

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通信作者：，wangxianbo638@163.com（ORCID：0000-0002-3593-5741）

關(guān)鍵詞：慢加急性肝功能衰竭；中西醫(yī)結(jié)合療法；多學(xué)科診療

基金項目：國家自然科學(xué)基金（82474419，82474426）；北京市衛(wèi)生健康委員會-研究型病房卓越臨床研究計劃（BRWEP2024W102170107）；北京市醫(yī)院管理中心創(chuàng)新夢工場經(jīng)費資助（202335）

Characteristics and advantages of integrated traditional Chinese and Western medicine therapy in whole-course management of acute-on-chronic liver failure

GAO Fangyuan，F(xiàn)ENG Ying，WANG Xianbo

Center of Integrative Medicine，Beijing Ditan Hospital，Capital Medical University，Beijing 1Ooo15，China

Corresponding author：WANG Xianbo，wangxianbo638@163.com（ORCID： 0000-0002-3593-5741）

Abstract：Acute-on-chronic liverfailure（ACLF）isacomplexclinical syndrome characterized byacute deteriorationof liver functioncaused bydiferent factorson the basisof chronic liverdisease，accompanied by liver failureand/or extrahepatic organ failure，and itoften hasa high short-term mortalityrate.With the increasing evidenceof evidence-based medicine， multipleguidelinesandconsensus statements havebeenreleased，suchas Guidelines forclinicaldiagnosisandtreatmentof acute-on-chronic liver failure intraditional Chinese medicine，Expertconsensus on thediagnosisand treatmentofacute-onchronicliverfailurewithintegratedtraditionalChineseandWesternmedicine，andGuidelines fortheintegrated traditional Chineseand Westernmedicinediagnosisandtreatmentofacute-on-chronic liverfailure，and integrated traditional Chinese and Western medicine therapies for ACLF have been constantly standardizedand perfected.This article explores the characteristicsandadvantagesof integrated traditional Chinese andWestern medicine therapyin the whole-course management of ACLF from theaspectsof early warning and prevention，treatment in theacute stage，managementof complications，andrehabilitationcare，inorder to enhancetheunderstandingof traditional Chinese and Western medicine treatment strategies among clinicians.

KeyWords：Acute-On-ChonicLiverFilure；IntegratedChineseTraditionalandWesteMedicineTherapy;Multi-DisciplinaryTeam

Research funding：NationalNaturalScienceFoundationofChina（82474419，82474426）；BeijingMunicipal HealthCommisionExcelent Clinical ResearchProgram for Research Wards（BRWEP2024W102170107）；Beijing HospitalsAuthority Innovation Studio of Young Staff Funding Support （202335）

慢加急性肝衰竭（ACLF）具有發(fā)病急驟、進展迅速、并發(fā)癥多、病死率高等特點，中西醫(yī)結(jié)合作為我國獨特的醫(yī)療模式，在ACLF這類復(fù)雜危重癥的全病程管理中展現(xiàn)出顯著特色與優(yōu)勢。（剩余22797字）