[中暑与暴发性肝炎：分子吸附再循环系统是否相关？]

[Heat stroke and fulminans hepatitis: is MARS system relevant?].

作者信息

Biais M, Nouette-Gaulain K, Lelias A, Vallet A, Neau-Cransac M, Revel P, Sztark F

机构信息

Département d'anesthésie-réanimation I, CHU Pellegrin, 146, rue Leo-Saignat, 33076 Bordeaux cedex, France.

出版信息

Ann Fr Anesth Reanim. 2005 Nov-Dec;24(11-12):1393-6. doi: 10.1016/j.annfar.2005.06.010. Epub 2005 Aug 11.

DOI:10.1016/j.annfar.2005.06.010

PMID:16099123

Abstract

Exertional heat stroke (EHS) is a life-threatening condition caused by an extreme elevation in core body temperature. Acute liver failure has been reported during EHS justifying liver transplantation in some cases. The Molecular Adsorbent Recirculating System (MARS) could be indicated in such situations. We report a case of a 58-year old patient who suffered acute liver failure occurring after EHS. The patient was referred for liver transplantation and benefited of MARS therapy. After three sessions of MARS, liver function improved progressively and the transplantation was not necessary. The patient completely recovered.

摘要

劳力性热射病（EHS）是一种由核心体温极度升高引起的危及生命的病症。EHS期间曾有急性肝衰竭的报道，这证明在某些情况下进行肝移植是合理的。分子吸附循环系统（MARS）可适用于此类情况。我们报告一例58岁患者，其在EHS后发生急性肝衰竭。该患者被转诊进行肝移植，并接受了MARS治疗。经过三次MARS治疗后，肝功能逐渐改善，无需进行移植。患者完全康复。