毒素诱导的肝损伤和肝衰竭的体外治疗
1Maryland Poison Center, Baltimore, MD; Providence St. Joseph Health, Everett, WA; Virginia Mason Franciscan Health, Seattle, WA.
Advances in kidney disease and health
|April 22, 2024
概括
药物和毒素中毒可能导致急性肝衰竭,通常需要科医生的干预. 外体治疗,包括血液透析和血交换,可用于管理这些复杂的病例.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 毒理学 毒理学 毒理学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 药物诱导性肝损伤 (DILI) 是肝衰竭的重要原因之一.
- 导致肝脏毒性的异生菌也可能导致急性损伤.
- 科医生在治疗药物和毒素引起的器官损伤的患者中发挥着至关重要的作用.
研究的目的:
- 告知科医生关于药物和毒素诱导肝功能衰竭的可能性.
- 审查体外疗法在治疗肝功能衰竭中的作用和应用.
- 讨论与这些治疗相关的局限性和并发症.
主要方法:
- 对药物和毒素诱导的肝衰竭现有文献的审查.
- 对肝功能衰竭的体外治疗指示的分析.
- 讨论各种体外疗法,包括由科医生和其他专家进行的疗法.
主要成果:
- 各种药物和毒素可以导致急性肝损伤和肝衰竭.
- 可以使用体外治疗,如血液透析,连续替代疗法,血交换,白蛋白透析,血液吸收和ECMO.
- 对于某些异生菌药物,如乙氨基,存在特定的抗毒疗法.
结论:
- nefrologists必须意识到药物和毒素诱导的肝功能衰竭及其管理.
- 外体疗法是肝衰竭的一个重要,虽然有时是有限的选择.
- 了解这些疗法的作用,局限性和并发症对于患者护理至关重要.
相关概念视频
Prevention of Further Absorption of Poison
817
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
817
Enhanced Elimination of Poison
504
Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
504
Toxic Reactions: Overview
969
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
969


