由传统中医药中的化物引起的急性肝衰竭:一个病例报告
Xuan-Yi Zhu1,2, Yi-Teng Zhao1,2, Chun-Sheng Su1,2
1Department of Graduate School, Bengbu Medical University, Bengbu 233000, Anhui Province, China.
World journal of hepatology
|November 3, 2025
概括
传统中医药 (TCM) 的类化合物可能会导致严重的肝损伤,进展到肝衰竭. 早期诊断和肝移植对于这些病例的良好结果至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 毒理学 毒理学 毒理学
- 综合医学是一个整体的医学.
背景情况:
- 传统中医 (TCM) 占药物诱导的肝损伤病例的很大一部分.
- 在TCM中含有的类化合物,如阿里斯托洛奇酸,与肝损伤和癌症风险有关.
- 静脉封闭性疾病是TCM相关的肝损伤的常见表现.
研究的目的:
- 报告一种独特的严重肝损伤和由含有类化合物的TCM引起的肝衰竭病例.
- 突出诊断挑战和及时干预的重要性.
- 为TCM诱导的肝衰竭提供肝移植指导.
主要方法:
- 一个35岁的女性患者的病例报告,患有渐进的黄.
- 在一个月内对肝损伤进展的临床评估.
- 包括保守治疗和最终的肝移植在内的管理.
主要成果:
- 患者在摄入含有类化合物的TCM后发展出快速的肝损伤和衰竭.
- 由于缺乏特定的症状和成像发现,诊断具有挑战性.
- 成功的肝移植导致了良好的预后和生存.
结论:
- 从TCM中引起的化物诱导的肝损伤可能是严重的,需要进行肝移植.
- 早期诊断和干预对于管理TCM相关的肝衰竭至关重要.
- 这一案例强调了在肝损伤评估中考虑TCM的重要性,并指导了移植时间.
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