肝功能衰竭作为劳力性热射病的一个组成部分出现。
Liver failure occurring as a component of exertional heatstroke.
作者信息
Hassanein T, Perper J A, Tepperman L, Starzl T E, Van Thiel D H
机构信息
Department of Medicine, University of Pittsburgh, Pennsylvania.
出版信息
Gastroenterology. 1991 May;100(5 Pt 1):1442-7.
Abstract
An unusual case of an exertional heatstroke in a healthy 25-year-old man is presented. Initially, the patient was deeply comatose and developed severe rhabdomyolysis and massive hepatic necrosis. Subsequently, he received a liver transplant with remarkable improvement in his mental status, although the rhabdomyolysis continued. The patient died 41 days after the transplant due to a complicating infection. Providing that infections can be effectively controlled, liver transplants might be a promising therapeutic alternative for the few patients who survive the initial neurological consequences of this unusual event.
摘要
本文报告了一例25岁健康男性的劳力性热射病罕见病例。最初，患者深度昏迷，并发严重横纹肌溶解和大面积肝坏死。随后，他接受了肝移植，精神状态有显著改善，尽管横纹肌溶解仍在持续。患者在移植后41天因并发感染死亡。如果感染能够得到有效控制，对于少数在这一罕见事件的初始神经后果中存活下来的患者，肝移植可能是一种有前景的治疗选择。
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