Southeast Louisiana Veterans Health Care System, Medicine Service Room 3H 124, 2400 Canal Street, New Orleans, LA 70119, USA.
Crit Care Nurs Clin North Am. 2022 Sep;34(3):259-265. doi: 10.1016/j.cnc.2022.04.012. Epub 2022 Jul 20.
Hepatitis B can cause liver failure from both an acute infection and reactivation. Reactivation of hepatitis B has been associated with the use of direct-acting antivirals to treat hepatitis C and immunosuppressive therapies. This article discusses hepatitis B, acute liver failure, treatment, and supportive care. Liver transplantation is often the only option for patients with acute liver failure due to hepatitis B. Assessing for hepatitis B exposure and providing the hepatitis B vaccine will reduce the number of acute liver failure cases related to chronic hepatitis B.
乙型肝炎可由急性感染和再激活引起肝衰竭。乙型肝炎再激活与使用直接作用抗病毒药物治疗丙型肝炎和免疫抑制治疗有关。本文讨论了乙型肝炎、急性肝衰竭、治疗和支持性护理。由于乙型肝炎导致的急性肝衰竭患者通常需要进行肝移植。评估乙型肝炎暴露情况并提供乙型肝炎疫苗可减少与慢性乙型肝炎相关的急性肝衰竭病例。