:Investigation of 6 Cases and Review of Literature

概要

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In 4 of 6 patients survived from acute hepatic failure showed histological findings similar to chronic hepatitis. One of these 4 patients was considered to be acute hepatic failure based on chronic hepatitis.The re-rise of transminase activities was recognized on recovering stage in the remaining 3 cases. These 3 patients were supposedly developed post transfusion hepatitis following blood exchange transfusion for the treatment of acute hepatic failure.According to the survey of literature in the last five years, 44% of 76 patients survived from acute hepatic failure showed histological findings of portal inflammation and 51% of the cases revealed re-rise of serum tranSaminase during the long term follow up studies.When histological findings similar to chronic hepatitis are seen in the case recovering from acute hepatic failure, we must take into consideration of possibilities that acute hepatic failure based on chronic hepatitis, post transfusion hepatitis following blood exchange transfusion for the treatment of acute hepatic failure or residual histological reaction in recovering stage of acute hepatic failure.
財団法人日本消化器病学会の論文