Wiesen S, Reddy K R, Jeffers L J, Schiff E R
Division of Hepatology, University of Miami School of Medicine, FL 33136, USA.
Dig Dis. 1995 May-Jun;13(3):199-204. doi: 10.1159/000171502.
Fulminant hepatic failure is infrequently seen as a consequence of acute congestive heart failure. Recognition of this entity is important as treatment directed towards heart failure should help resolve the liver failure. A case of fulminant hepatic failure due to previously unrecognized cardiomyopathy is presented. A liver transplantation was being considered for fulminant hepatic failure until hemodynamic monitoring studies demonstrated that, in fact, the patient had severe cardiomyopathy. Treatment directed at his cardiomyopathy resolved the liver failure. Therefore, prompt recognition of such a phenomenon would enable early institution of appropriate therapeutic measures with the hope of clinical benefit to the patient.
暴发性肝衰竭很少作为急性充血性心力衰竭的后果出现。认识到这种情况很重要，因为针对心力衰竭的治疗应有助于解决肝衰竭。本文介绍了一例因先前未被识别的心肌病导致的暴发性肝衰竭病例。在血流动力学监测研究表明该患者实际上患有严重心肌病之前，一直在考虑对暴发性肝衰竭进行肝移植。针对其心肌病的治疗解决了肝衰竭问题。因此，迅速识别这种现象将有助于尽早采取适当的治疗措施，有望给患者带来临床益处。
