Detry O, Honoré P, Meurisse M, Jacquet N
Department of Abdominal Surgery and Transplantation, University Hospital of Liège, University of Liège, Sart Tilman, Belgium.
Acta Chir Belg. 1998 Dec;98(6):235-40.
Fulminant hepatic failure is an infrequent but dreadful disease, occurring usually in young patients. Despite fulminant hepatic failure is reversible in most of the cases, some patients develop brain edema and intracranial hypertension, which are the most common cause of death in these patients. Liver transplantation significantly improves the prognosis of selected patients in who precise criteria predict a low chance of survival. This review summarizes the modern standard of care of patients with fulminant hepatic failure, with particular underlining of the management of brain oedema and intracranial hypertension.
暴发性肝衰竭是一种罕见但可怕的疾病,通常发生在年轻患者中。尽管大多数情况下暴发性肝衰竭是可逆的,但一些患者会出现脑水肿和颅内高压,这是这些患者最常见的死亡原因。肝移植显著改善了符合精确标准且预测生存机会低的特定患者的预后。本综述总结了暴发性肝衰竭患者的现代治疗标准,特别强调了脑水肿和颅内高压的管理。