暴发性甲型肝炎合并应激性心肌病经标准量血浆置换成功治疗。
Fulminant hepatitis A complicated by Takotsubo syndrome successfully treated with standard volume plasma exchange.
作者信息
Caballol Berta, Reverter Enric, Cid Joan, Hernández-Tejero María, Triolo Michela, Lozano Miquel, Fernández Javier
机构信息
Liver ICU, Liver Unit, IMDiM, Hospital Clínic, IDIBAPS and CIBERehd, Barcelona, Spain.
Apheresis & Cellular Therapy Unit, Department of Hemotherapy and Hemostasis, ICMHO, Hospital Clínic, University of Barcelona, Barcelona, Spain.
出版信息
JHEP Rep. 2019 Oct 29;1(6):445-448. doi: 10.1016/j.jhepr.2019.10.004. eCollection 2019 Dec.
Fulminant hepatic failure is an unusual complication of hepatitis A virus infection which, without liver transplantation, is associated with a poor prognosis. We report a case of fulminant hepatitis A complicated by severe cardiac dysfunction, related to Takotsubo syndrome, that was considered a contraindication for transplantation and was successfully managed with standard volume plasma exchange.
暴发性肝衰竭是甲型肝炎病毒感染的一种罕见并发症，若不进行肝移植，其预后较差。我们报告一例暴发性甲型肝炎合并严重心脏功能障碍的病例，该心脏功能障碍与应激性心肌病有关，被认为是移植的禁忌证，通过标准容量血浆置换成功治愈。
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