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氟烷性肝炎伴肾衰竭经血液透析和换血治疗。

Halothane hepatitis with renal failure treated with hemodialysis and exchange transfusion.

作者信息

Ishikawa M, Popovtzer M M, Iwatsuki S, Johansen T, Starzl T E

出版信息

Jpn J Surg. 1974 Dec;4(4):212-5. doi: 10.1007/BF02469454.

DOI:10.1007/BF02469454
PMID:4465472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2966302/
Abstract

A 38-year-old white female, hepatitis B antigen negative, developed fluminating hepatic failure associated with oliguria and severe azotemia after two halothane anesthesia and without exposure to other hepatotoxic drugs or blood transfusions. She was treated with multiple hemodialysis and exchange blood transfusion. The combined treatment corrected the uremic abnormalities and improved her level of consciousness. the liver and kidney function gradually improved, and she made a complete recovery, the first recorded with hepatic and renal failure under these postanesthetic conditions. Further evaluation of this combined treatment used for this patient is warranted.

摘要

一名38岁的白人女性,乙肝抗原阴性,在接受两次氟烷麻醉后出现暴发性肝衰竭,并伴有少尿和严重氮质血症,且未接触其他肝毒性药物或输血。她接受了多次血液透析和换血治疗。联合治疗纠正了尿毒症异常并改善了她的意识水平。肝脏和肾脏功能逐渐改善,她完全康复,这是在这些麻醉后情况下首次有肝肾功能衰竭的记录。有必要对用于该患者的这种联合治疗进行进一步评估。

相似文献

1
Halothane hepatitis with renal failure treated with hemodialysis and exchange transfusion.氟烷性肝炎伴肾衰竭经血液透析和换血治疗。
Jpn J Surg. 1974 Dec;4(4):212-5. doi: 10.1007/BF02469454.
2
[A case of fulminant hepatitis after reexposure to halothane six years later].[六年后再次接触氟烷后发生暴发性肝炎一例]
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3
[Hepatitis and acute renal failure following halothane anaesthesia in a patient treated with perhexiline maleate (author's transl)].
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Hepatic coma with renal failure, treated by repeated exchange transfusion.伴有肾衰竭的肝昏迷,经反复换血治疗。
Arch Dis Child. 1968 Jun;43(229):368-71. doi: 10.1136/adc.43.229.368.
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Halothane induced hepatitis: case report.氟烷性肝炎:病例报告。
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Halothane-induced nephrotoxicity.氟烷诱导的肾毒性。
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Halothane hepatitis in a young child.
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Acute renal failure following halothane anesthesia.氟烷麻醉后急性肾衰竭
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本文引用的文献

1
TREATMENT OF HEPATIC COMA BY HEMODIALYSIS.血液透析治疗肝昏迷
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Halothane jaundice andhepatotoxicity.氟烷性黄疸与肝毒性。
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Ammonia intoxication treated by hemodialysis.血液透析治疗氨中毒
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Hepatic coma.肝昏迷
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6
Hepatic necrosis associated with halothane anesthesia.与氟烷麻醉相关的肝坏死。
Am J Med. 1969 Nov;47(5):748-64. doi: 10.1016/0002-9343(69)90168-5.
7
The fulminant hepatic failure surveillance study. Brief review of the effects of presumed etiology and age of survival.暴发性肝衰竭监测研究。关于假定病因和生存年龄影响的简要综述。
Can Med Assoc J. 1972 Feb 26;106(Spec Issue):525-8.
8
Halothane hepatitis: a critical review.氟烷性肝炎:批判性综述。
Anesth Analg. 1972 Jan-Feb;51(1):135-60.
9
Haemodialysis in the treatment of liver failure.血液透析在肝衰竭治疗中的应用
Lancet. 1968 Dec 7;2(7580):1236-8. doi: 10.1016/s0140-6736(68)91709-1.
10
Controlled trial of exchange-transfusion therapy in fulminant hepatitis.暴发性肝炎换血疗法的对照试验
Lancet. 1973 Jan 6;1(7793):3-6. doi: 10.1016/s0140-6736(73)91220-8.