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原发性淀粉样变性伴自发性脾破裂、胆汁淤积和肝功能衰竭,接受急诊肝移植治疗。

Primary amyloidosis with spontaneous splenic rupture, cholestasis, and liver failure treated with emergency liver transplantation.

作者信息

Sandberg-Gertzén H, Ericzon B G, Blomberg B

机构信息

Department of Medicine, Orebro Medical Center Hospital, Sweden.

出版信息

Am J Gastroenterol. 1998 Nov;93(11):2254-6. doi: 10.1111/j.1572-0241.1998.00628.x.

DOI:10.1111/j.1572-0241.1998.00628.x
PMID:9820409
Abstract

A 61-yr-old man with cholestatic jaundice soon after presentation had an emergency operation because of spontaneous rupture of the spleen. This was found to be caused by primary systemic amyloidosis. After the splenectomy, the patient deteriorated with liver failure and was successfully treated with liver transplantation. Osteopenic fractures of the thoracic columna developed after transplantation. Except for this, the patient is well 18 months after transplantation.

摘要

一名61岁男性,出现胆汁淤积性黄疸后不久因脾自发性破裂接受了急诊手术。发现这是由原发性系统性淀粉样变性引起的。脾切除术后,患者因肝衰竭病情恶化,随后成功接受了肝移植治疗。移植后发生了胸椎骨质疏松性骨折。除此之外,患者在移植后18个月情况良好。

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Primary amyloidosis with spontaneous splenic rupture, cholestasis, and liver failure treated with emergency liver transplantation.原发性淀粉样变性伴自发性脾破裂、胆汁淤积和肝功能衰竭,接受急诊肝移植治疗。
Am J Gastroenterol. 1998 Nov;93(11):2254-6. doi: 10.1111/j.1572-0241.1998.00628.x.
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Autologous stem cell transplantation following simultaneous liver and kidney transplantation in severe amyloid light chain amyloidosis associated with multiple myeloma: a case report.自体干细胞移植在多发性骨髓瘤相关严重轻链淀粉样变性合并肝肾联合移植后的应用:一例报告。
J Med Case Rep. 2020 Oct 25;14(1):201. doi: 10.1186/s13256-020-02511-9.
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Acute liver failure due to primary amyloidosis in a nephrotic syndrome: a swiftly progressive course.肾病综合征中由原发性淀粉样变性引起的急性肝衰竭:病情迅速进展。
BMJ Case Rep. 2016 Mar 10;2016:bcr2016214392. doi: 10.1136/bcr-2016-214392.
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Amyloidosis and subacute liver failure.
淀粉样变性与亚急性肝衰竭。
Gastroenterol Hepatol (N Y). 2012 Mar;8(3):208-11.
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Subacute liver failure secondary to amyloid light-chain amyloidosis.继发于淀粉样轻链淀粉样变性的亚急性肝衰竭。
Gastroenterol Hepatol (N Y). 2012 Mar;8(3):205-8.