在B型肝炎病毒相关的急性肝衰竭中,高体积血交换和连续脏替代疗法的连续使用:一个案例报告
Sofia Bragança1, Mário Ferraz2, Nuno Germano2
1Serviço de Gastrenterologia, Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal.
GE Portuguese journal of gastroenterology
|November 29, 2023
概括
高体积血交换 (HVPE) 和连续脏替代疗法 (CRRT) 可以改善急性肝衰竭 (ALF) 患者的存活率,这些患者不符合肝移植 (LT) 的条件. 这些人造肝脏支持系统有助于清除毒素并改善患者的治疗结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 急性肝衰竭 (ALF) 带来了重大挑战,肝移植 (LT) 是主要的治疗选择.
- 对于无法接受LT的患者,支持性措施对生存至关重要,包括持续脏替代疗法 (CRRT) 治疗高氨血症和肝脑病变 (HE).
- 高容量血交换 (HVPE) 作为人工肝脏支持系统,有效清除ALF中的氨和炎症介质.
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