ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CÁC YẾU TỐ TIÊN LƯỢNG SỚM NGUY CƠ TỬ VONG DO SUY GAN CẤP TRÊN BỆNH NHÂN VIÊM GAN B MẠN TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI TRUNG ƯƠNG (2018-2019)

Abstract

Objective: To describe the clinical, subclinical characteristics of the ACLF patients to facilitate early diagnosis and consider early to transplant.

Objects and methods: 95 Hepatitis B patients diagnosed with ACLF for hepatitis treatment from 1/2018 to 6/2020

Results and conclusions: Clinical symptoms were acute, 100% of patients appeared jaundice, some patients with rapid progression of early or early liver syndrome. Subclinical factors with clinically useful, rapid mortality prognostic values ​​such as a drop of PT (%) below 40%, a bilirubin > 300 μmol/l can help clinicians suggest early the medical treatment failure and decide to intervene in liver transplantation at the right time. The MELD score is of useful value in clinical mortality prognosis.