Treatment of hepatic coma by exchange blood transfusion.
نویسندگان
چکیده
منابع مشابه
Management of hepatic coma complicating viral hepatitis.
The treatment is described of 17 patients with presumed viral hepatitis who developed hepatic coma unresponsive to standard conservative measures. Five patients were considered for treatment by exchange transfusion. Four were treated, with transient improvement in two, but all died. Nine patients were considered for treatment by heterologous liver perfusion. Six were treated, with transient imp...
متن کاملTreatment of hepatic encephalopathy.
The mortality of coma complicating acute hepatic necrosis remains high at about 80% and recently exchange transfusion has shown some promising results. This line of treatment is based on the assumption that improvement depends on the removal of non-dialysable toxic substances from the circulation although some authors have suggested that the benefit might be due to the addition of deficient fac...
متن کاملAcute hepatic coma successfully treated by extracorporeal baboon liver perfusions.
Two patients in deep hepatic coma due to fulminant viral hepatitis were treated by extracorporeal baboon liver perfusion after failing to respond to medical treatment and three consecutive exchange transfusions. Both patients recovered full consciousness after one liver perfusion, made a complete recovery, and were leading normal lives seven and eight months after treatment. Perfusions were mai...
متن کاملHaemostasis in fulminant hepatic failure.
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 n...
متن کاملHepatic coma with renal failure, treated by repeated exchange transfusion.
Hepatic coma following acute hepatic necrosis carries a high mortality in spite of conventional therapy (Katz et al., 1962; McDonald and De la Harpe, 1963; Cook and Sherlock, 1965), but the concomitant development of renal failure makes the prognosis even worse (Hecker and Sherlock, 1956). Owing to the extraordinary capacity of the liver to regenerate, other forms of treatment have recently bee...
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ورودعنوان ژورنال:
- The New England journal of medicine
دوره 274 9 شماره
صفحات -
تاریخ انتشار 1966