413 HEMOCARBOPERFUSION IN CHILDHOOD HEPATIC COMA

Ammonia Intoxication in Hepatic Coma

Blood ammonia nitrogen was determined in 36 cases of hepatic coma and 63 cases of liver disease. Significant elevations (PL 0.001) were noted in coma due to hepatitis and cirrhosis and the mortality rate was 89% and 9 1.3% respectively. Raised ammonia nitrogen in hepatic coma is a sign of grave prognosis (JPMA 34 : 9, 1984).

Hepatic coma: the electroencephalographic pattern.

Recent advances in our knowledge of the neurophysiologic mechanisms underlying sleep and experimental states of coma (1) suggest the need for a neurophysiologic approach to the many complex clinical syndromes associated with disturbance of consciousness. The coma syndrome associated with hepatic disease and usually known as hepatic coma was chosen for investigation since it presents a good exam...

The mechanism of hepatic coma.

Disorders of renal function in hepatic coma.

Renal failure is a frequent complication in advanced liver disease (Conn, 1973; Papper, 1978). Gastrointestinal bleeding and forced diuresis may be the causes in fulminant hepalic. failure and cirrhosis (Hecker and Sherlock, 1956; Shear et al., 1965). Hepatic coma or an associated metabolic abnormality may affect renal function or aggravate pre-existing renal abnormalities in severe liver disea...

The Hepatic Coma Syndromes and Lactulose

In his prefatory note Dr. Rosenberg tells the unfortunate story of this book's publication. It had been quietly planned in early 1977 and was intended to be presented to George Rosen in the spring of 1978, marking his retirement. This effort was unexpectedly transformed into a memorial volume when Dr. Rosen died suddenly in the summer of 1977. George Rosen was one of the preeminent medical hist...