Department of Paediatrics and Child Health, University of Otago, Wellington, New Zealand
Neonatal Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand.
BMJ Case Rep. 2022 May 6;15(5):e245406. doi: 10.1136/bcr-2021-245406.
We report the first case of standard therapeutic dose paracetamol for patent ductus arteriosus closure causing acute liver failure in an extremely preterm infant. After 5 days of treatment, he presented with jaundice, acute severe hepatitis and coagulopathy. Treatment with N-acetyl cysteine resulted in full recovery.
我们报告了首例因标准治疗剂量对乙酰氨基酚治疗动脉导管未闭导致极早产儿急性肝功能衰竭的病例。治疗 5 天后,患儿出现黄疸、急性重症肝炎和凝血功能障碍。给予 N-乙酰半胱氨酸治疗后完全恢复。