Recovery from Fulminant Hepatic Failure and Prolonged Deep Coma without Liver Transplantation
スポンサーリンク
概要
- 論文の詳細を見る
The overall mortality of fulminant hepatic failure without liver transplantation is around 70%. However, the most critical problem in the management of fulminant hepatic failure is the indication of liver transplantation because this disease is sometimes reversible without such treatment. We encountered a 27-year old patient with acute type fulminant hepatic failure and deep coma (grade V hepatic encephalopathy). Electroencephalography showed generalized low voltage activity in all leads, but cranial computed tomography revealed no diffuse brain edema. The patient was treated with artificial liver support without liver transplantation, and finally recovered without any neurological deficits. The indications for liver transplantation in patients with deep coma are still controversial because the reversibility of severe coma cannot be accurately predicted before the transplantation. Therefore, more data are needed for the correct therapeutic management (with or without liver transplantation) of fulminant hepatic failure.
- 長崎大学の論文
著者
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Omagari Katsuhisa
Second Department of Internal Medicine, Nagasaki University School of Medicine
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KAMOHARA Yukio
Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedic
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MATSUDA JUN-ICHI
Department of Earth and Space Science, Graduate School of Science, Osaka University
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Kamohara Yukio
Department Of Transplantation And Digestive Surgery Nagasaki University Graduate School Of Biomedica
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Yoshimura Maki
Intensive Care Unit, Nagasaki University Hospital
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Yoshimura Toshio
Nagasaki University School of Health Sciences
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Yajima Hiroyuki
Department Of Bioresource Engineering Faculty Of Agriculture Yamagata University
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Omagari Katsuhisa
Second Department Of Internal Medicine Department Of Translational Medical Sciences Nagasaki Univers
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Matsuda Jun-ichi
Department Of Internal Medicine Nagasaki Municipal Medical Center
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Matsuda Jun-ichi
Department Of Earth And Space Science Faculty Of Science Osaka University
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Yoshimura Maki
Intensive Care Unit Nagasaki University Hospital
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Kamohara Yukio
Department Of Surgery And Liver Support Unit Cedars-sinai Medical Center Ucla School Of Medicine
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Norimura Daisuke
Intensive Care Unit, Nagasaki University Hospital
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Kadokawa Yoshiko
Nagasaki University School of Health Sciences
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Takamori Ken-Ichi
Department of Internal Medicine, Nagasaki Municipal Medical Center
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