Sutherland L R, Muller P, Lewis D R
Am J Gastroenterol. 1981 Nov;76(5):446-8.
Cerebral edema may complicate the course of fulminant hepatic failure. Response to conventional therapy has been disappointing. We present a patient with fatal acetaminophen-induced fulminant hepatic failure, with signs and symptoms of cerebral edema, unresponsive to conventional medical therapy. Cranial decompression was carried out. A justification of the need for further evaluation of cranial decompression in such patients is presented.
脑水肿可能使暴发性肝衰竭的病程复杂化。对传统治疗的反应一直令人失望。我们报告一例因对乙酰氨基酚导致的致命性暴发性肝衰竭患者，出现脑水肿的体征和症状，对传统药物治疗无反应。进行了颅骨减压术。本文提出了对此类患者进一步评估颅骨减压必要性的理由。
