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瘦弱大男孩,他的脂肪肝是从哪里来的
2017-08-24 05:21:35 中国青年网
据介绍,肝病学科是杭师大附院的特色学科之一。而脂肪肝的治疗并非仅仅是肝的问题,与心血管、糖尿病、肥胖等都关系非常密切,如今医院的分科越来越细,患者问诊脂肪肝,往往要四五个科室。不同科室专家给出的意见往往也不相同,搞得病人都不知道该听谁的好。为此,在2012年时,杭师大附院在国内率先开设了脂肪肝多学科联合门诊,将肝病科、内分泌科、心血管内科,以及营养科等的专家汇集在一起,一起给病人诊治,最后给病人一个综合诊疗方案,从而让患者得到系统和规范的诊疗。
“目前我们联合门诊每周一次,一次预约20~30个病人,一年下来也能服务1000多位病人,但依然十分有限。因此,建议两类人比较合适来我们的门诊,一类是刚刚确诊脂肪肝合并有其他代谢疾病的初诊病人,需要做一个系统评估,看看病情已进展到什么程度,并给出个性化的综合诊疗方案;二是疑难的病人,主要是那些不明原因的脂肪肝患者,大约占脂肪肝患者的两成,我们的经验是这些患者中相当一部分是遗传性肝病,需要特别重视早期诊断。”施军平副院长说。
对于疑难或者原因不明脂肪肝,杭师大附院已经着手在做一系列的临床研究,比如通过肝脏组织的活检、核磁共振以及基因panel等检查手段来明确瘦子脂肪肝的病因,同时也针对药物性脂肪肝发生的危险人群以及防治策略等,去研究哪些药物会使哪类病人致病。目的就是帮助患者早发现、早治疗以提高预后。
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