Ogawa R, Kishikawa T, Kudo J, Inaba S, Takamatsu Y, Hirata Y, Yoshimatsu H, Ishibashi H, Taniyama T, Zaitsu A
First Department of Internal Medicine, Kyushu University, Fukuoka.
Fukuoka Igaku Zasshi. 1992 Aug;83(8):338-42.
By combination of continuous hemofiltration (CHF) with plasma exchange therapy we successfully treated a patient with subacute type fulminant hepatitis to keep her consciousness alert. The patient was a 55-year-old woman who admitted because of severe jaundice. On the 51st day after the onset she had consciousness disturbance and was transferred to our hospital. We started the therapy of CHF and plasma exchange at the patient's hepatic coma grade 4. On the 5th day her consciousness level recovered to grade 2 and we could keep the level for almost 2 weeks. This combination therapy seemed good not only for the improvement of consciousness of patients in hepatic coma but also to support the hepatic function of almost ahepatic patients.
通过持续血液滤过（CHF）与血浆置换疗法相结合，我们成功治疗了一名亚急性暴发性肝炎患者，使其意识保持清醒。该患者为一名55岁女性，因严重黄疸入院。发病后第51天，她出现意识障碍，被转至我院。在患者肝昏迷4级时，我们开始了CHF和血浆置换治疗。第5天，她的意识水平恢复到2级，且该水平维持了近2周。这种联合治疗似乎不仅有利于改善肝昏迷患者的意识，还能支持几乎无肝功能患者的肝功能。
