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妊娠急性脂肪肝合并胰腺炎

[Acute fatty liver of pregnancy complicated by pancreatitis].

作者信息

Castañón-González J A, Vázquez-de Anda G F, Gallegos-Pérez H, Hernández-López G, Eid-Lidt G, Miranda-Ruíz R

机构信息

Unidad de Cuidados Intensivos y Medicíne Crítica, Hospital de Especialidades Dr. Bemardo Sepũlveda G, Centro Médico Nacional Siglo XXI, IMSS, México, D.F.

出版信息

Gac Med Mex. 1997 May-Jun;133(3):253-8.

PMID:9303875
Abstract

A woman with acute fatty liver of pregnancy developed fulminant hepatic failure after delivery, a time when spontaneous recovery was expected. Pancreatitis and multiple organ failure was documented and intensive treatment in a critical care unit was needed to support organ function. She underwent plasmapheresis due to extreme hyperbilirubinemia and coma. She recovered completely.

摘要

一名患有妊娠急性脂肪肝的女性在产后出现暴发性肝衰竭,而此时本应出现自发恢复。记录显示存在胰腺炎和多器官功能衰竭,需要在重症监护病房进行强化治疗以支持器官功能。由于极度高胆红素血症和昏迷,她接受了血浆置换。她完全康复了。

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