临床诊断标准.pptx

演讲者简介;非酒精性脂肪性肝病 ---诊疗进展;诊断标准;临床诊断标准;; B超诊断依据; B超诊断依据; CT诊断依据;显性肝硬化的诊断依据;组织病理学诊断依据;单纯性脂肪肝组织学诊断依据;脂肪性肝炎组织学诊断依据;脂肪性肝纤维化和肝硬化;诊断策略;高危人群;影像学诊断;;实验室诊断; NAFLD的实验室改变 ; 实验室改变 ;;是否存在酒精性肝损害;提示酒精性肝损害的线索; 酒精性肝损害的临床类型;排除其他肝病; 病毒性肝炎与脂肪肝 Francesco N,et al.Hepatology2002;36:759;病毒性肝炎与脂肪肝临床分型 ;慢性HCV感染者肝细胞脂变 危险因素;Relationship between fibrosis progression and steatosis evolution between the two biopsies in the 96 patients studied;Host and viral factors implicated in the pathogenesis of hepatic steatosis in chronic hepatitis C patients and possible mechanisms involved in accelerating hepatic fibrosis progression.;HEPATOLOGY, 2003 , 38: 557-559;排除其他NAFL;高危人群;脂肪肝 +肝炎;肝活检的优点;肝活检的缺点;肝活检的指征;治疗共识;治疗目标;最初评估;治疗措施;治疗方法;纠正潜在的危险因素; 控制体重/减少腰围 NHLBI guideline 1998; 减肥对NAFLD的影响 J Hepatol 1997;27:103，Gastroenterology2002;123:1702;改善胰岛素抵抗;调脂药物治疗;现存问题 Diabetes Metab2000;26:98-106，Gastroenterology2002;123:1702;避免加重肝脏损伤;避免加重肝脏损伤;基础治疗相关药物的肝毒性 Ghali P, et al. Seminar Liver Disease 2004;24:389-97;针对肝病的药物治疗;针对肝病的药物治疗;常用保肝药物;针对肝病的药物治疗;疗效评估; ;9、春去春又回，新桃换旧符。在那桃花盛开的地方，在这醉人芬芳的季节，愿你生活像春天一样阳光，心情像桃花一样美丽，日子像桃子一样甜蜜。12月-2012月-20Tuesday, December 29, 2020 10、人的志向通常和他们的能力成正比例。09:16:4209:16:4209:1612/29/2020 9:16:42 AM 11、夫学须志也，才须学也，非学无以广才，非志无以成学。12月-2009:16:4209:16Dec-2029-Dec-20 12、越是无能的人，越喜欢挑剔别人的错儿。09:16:4209:16:4209:16Tuesday, December 29, 2020 13??志不立，天下无可成之事。12月-2012月-2009:16:4209:16:42December 29, 2020 14、Thank you very much for taking me with you on that splendid outing to London. It was the first time that I had seen the Tower or any of the other famous sights. If Id gone alone, I couldnt have seen nearly as much, because I wouldnt have known my way about. 。29 十二月 20209:16:42 上午09:16:4212月-20 15、会当凌绝顶，一览众山小。十二月 209:16 上午12月-2009:16December 29, 2020 16、如果一个人不知道他要驶向哪头，那么任何风都不是顺风。2020/12/29 9:16:4209:16:4229 Decemb