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摘要：
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摘要：随着世界范围内酒精使用的增加、药物的过度使用以及肥胖和糖尿病等慢性疾
病的日渐流行，肝衰竭的发病率呈上升趋势。糖代谢异常尤其是低血糖在肝病患者中
极为常见，不仅会增加肝衰竭患者不良事件的发生率，且对患者远期预后也有不良影
响。本文详细阐述了肝衰竭患者的糖代谢异常，包括糖代谢异常的特点、流行病学及
低血糖的发生机制，分析了糖代谢异常相关并发症以及低血糖发生的危险因素，在此
基础上对肝衰竭患者的血糖管理提出了具体对策与建议，以期实现肝衰竭患者血糖的
科学管理，改善预后。
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Abstract: With the worldwide increase in alcohol use, drug overuse and the increasing
prevalence of chronic diseases such as obesity and diabetes, the incidence of liver failure is
rising. Abnormal glucose metabolism especially hypoglycemia is very common in patients
with liver disease, which will not only increase the incidence of adverse events in patients
with liver failure, but also have adverse effects on the long-term prognosis. This study
elaborated the abnormal glucose metabolism of liver failure, including the characteristics,
epidemiology and the mechanism of hypoglycemia and analyzed the related complications
caused by abnormal glucose metabolism and the risk factors of hypoglycemia. On this
basis, specific countermeasures and suggestions were put forward for the blood glucose
management of patients with liver failure, in order to realize the scientific management
of blood glucose of patients with liver failure, ensure the safety of patients and improve
prognosis.
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