Amadid Hanan, Schiødt Frank Vinholt
Wilkensvej 38, 4. th., 2000 Frederiksberg.
Ugeskr Laeger. 2014 Jan 20;176(4A):V08130501.
Hypoxic hepatitis (HH), also known as ischaemic hepatitis or shock liver, is an acute liver injury caused by hepatic hypoxia. Cardiac failure, respiratory failure and septic shock are the main underlying conditions. In each of these conditions, several haemodynamic mechanisms lead to hepatic hypoxia. A shock state is observed in only 50% of cases. Thus, shock liver and ischaemic hepatitis are misnomers. HH can be a diagnostic pitfall but the diagnosis can be established when three criteria are met. Prognosis is poor and prompt identification and treatment of the underlying conditions are crucial.
缺氧性肝炎（HH），也称为缺血性肝炎或休克肝，是一种由肝脏缺氧引起的急性肝损伤。心力衰竭、呼吸衰竭和脓毒性休克是主要的潜在病因。在上述每种情况下，多种血流动力学机制都会导致肝脏缺氧。仅50%的病例会出现休克状态。因此，休克肝和缺血性肝炎这两个名称并不准确。HH可能是一个诊断陷阱，但当满足三个标准时即可确诊。其预后较差，及时识别并治疗潜在病因至关重要。
