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终末期肝病模型(MELD)评分在终末期肝病中的应用

希古日干 苏雅 佟静 王炳元

临床肝胆病杂志2025,Vol.41Issue(3):556-560,5.
临床肝胆病杂志2025,Vol.41Issue(3):556-560,5.DOI:10.12449/JCH250325

终末期肝病模型(MELD)评分在终末期肝病中的应用

Application of Model for End-Stage Liver Disease score in end-stage liver disease

希古日干 1苏雅 1佟静 2王炳元2

作者信息

  • 1. 内蒙古民族大学附属医院消化内科,内蒙古 通辽 028000
  • 2. 中国医科大学附属第一医院消化内科,沈阳 110001
  • 折叠

摘要

Abstract

The Model for End-Stage Liver Disease(MELD)score is currently used to prioritize liver allocation for cirrhotic patients awaiting liver transplantation in the world.With the application of MELD score in transplantation for patients with severe conditions,several models have been proposed to refine and improve MELD score.MELD score has also been used for the management of non-transplantation patients with chronic liver disease.This article briefly reviews the background of these models and believes that the original intention of MELD is to determine the priority of organ allocation for liver transplantation.The expanded application of MELD score beyond liver transplantation assessment should be performed with reference to clinical practice,and different MELD models should be selected rationally based on individual conditions,in order to help patients achieve optimal prognosis assessment,intervention measures,and benefits.

关键词

肝硬化/终末期肝病模型/疾病严重程度指数

Key words

Liver Cirrhosis/Model for End-stage Liver Disease/Severity of Illness Index

引用本文复制引用

希古日干,苏雅,佟静,王炳元..终末期肝病模型(MELD)评分在终末期肝病中的应用[J].临床肝胆病杂志,2025,41(3):556-560,5.

基金项目

国家自然科学基金青年项目(8170030364) National Natural Science Foundation of China Young Scientist Fund(8170030364) (8170030364)

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