Haemostasis in fulminant hepatic failure.

نویسنده

  • P T Flute
چکیده

different treatments. Saunders carries out an exchange transfusion routinely if the patient remains in deep coma after 24 hours. In another personal series (from the Hospital Beaujon, Clichy) the results were quite different.1" Between 1952 and 1969 77 patients with severe viral hepatitis were seen, of whom 75 were in coma. Of 56 patients treated conservatively 13 survived, whereas there were no survivors in the 21 treated by corticosteroids, exchange transfusion, cross circulation, or hyperbaric oxygen. However, it is again quite likely that the more severe cases were treated by the more active measures. In the F.H.F.S. study of 101 patients in whom no treatment procedures were undertaken 10% survived,' while 24% of 166 patients lived in whom exchange transfusions were done. Thus no firm conclusions can be drawn about the value of exchange transfusion in the management of fulminant hepatic failure. Indeed the preliminary results in the first randomly allocated and controlled trial of exchange transfusion in fulninant hepatitis shows a higher mortality in the treated group."7 References

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عنوان ژورنال:
  • British medical journal

دوره 1 5742  شماره 

صفحات  -

تاریخ انتشار 1971