中暑期间急性肝衰竭很常见。
Acute liver failure is frequent during heat stroke.
作者信息
Garcin J M, Bronstein J A, Cremades S, Courbin P, Cointet F
出版信息
World J Gastroenterol. 2008 Jan 7;14(1):158-9. doi: 10.3748/wjg.14.158.
Abstract
Acute liver failure (ALF) is relatively frequent during heat stroke (HS). This risk must be emphasized, because its incidence is higher than is usually thought. In a recent study by Weigand et al, two cases were reported in which liver failure was the leading symptom. We have confirmed their conclusion in a study of 25 cases of HS with ALF, compared with 25 other cases without ALF. Moreover, we observed that hypophosphatemia on admission could predict occurrence of ALF during HS. As for clinical and other biological parameters, phosphatemia should be monitored for at least 3 d in all cases of HS, even when it is thought to be mild.
摘要
急性肝衰竭（ALF）在中暑（HS）期间相对常见。必须强调这种风险，因为其发生率高于通常认为的水平。在Weigand等人最近的一项研究中，报告了两例以肝衰竭为主要症状的病例。我们在一项对25例伴有ALF的HS病例和另外25例不伴有ALF的病例的研究中证实了他们的结论。此外，我们观察到入院时的低磷血症可预测HS期间ALF的发生。至于临床和其他生物学参数，在所有HS病例中，即使认为病情较轻，也应至少监测3天血磷水平。
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