一名患有复发性肝性脑病和慢性肾衰竭的患者通过长期血液透析成功治愈。

A patient with recurrent hepatic encephalopathy and chronic renal failure treated successfully with long-term hemodialysis.

作者信息

Kaneda H, Haruyama T, Chiba S, Sugai Y, Hirasawa T, Takeuchi M, Wakasa H, Yamagata Y

出版信息

Tohoku J Exp Med. 1977 Nov;123(3):227-34. doi: 10.1620/tjem.123.227.

DOI:10.1620/tjem.123.227

Abstract

A 38-year-old man suffering from chronic recurrent hepatic enchephalopathy due to liver cirrhosis complicated with chronic renal failure had been maintained well by regular hemodialysis treatment for 14 months. Only four episodes of hepatic encephalopathy occurred in that period. Each of four episodes of disturbed consciousness was accompanied by slightly elevated blood ammonia levels. Energetic serial dialysis for 5-7 days was necessary for its recovery. The factors causing hepatic encephalopathy did not appear to be easily dialysable as compared with those of uremic coma. It is concluded that the hemodialysis is quite an effective treatment for the recurrent type of hepatic encephalopathy.

摘要

一名38岁男性因肝硬化合并慢性肾衰竭患有慢性复发性肝性脑病，通过定期血液透析治疗维持良好状态达14个月。在此期间仅发生了4次肝性脑病发作。4次意识障碍发作每次均伴有血氨水平轻度升高。为使其恢复，进行5 - 7天的积极连续性透析是必要的。与尿毒症昏迷的病因相比，引起肝性脑病的因素似乎不易被透析清除。结论是血液透析对于复发性肝性脑病是一种相当有效的治疗方法。