Effects of artificial liver support system on patients with acute or chronic liver failure

被引：125

作者：

Du, WB ^{[1
]}

Li, LJ ^{[1
]}

Huang, JR ^{[1
]}

Yang, Q ^{[1
]}

Liu, XL ^{[1
]}

Li, J ^{[1
]}

Chen, YM ^{[1
]}

Cao, HC ^{[1
]}

Xu, W ^{[1
]}

Fu, SZ ^{[1
]}

Chen, YG ^{[1
]}

机构：

[1] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Minist Publ Hlth China,Key Lab Infect Dis, Zhengzhou 310003, Peoples R China

来源：

TRANSPLANTATION PROCEEDINGS | 2005年 / 37卷 / 10期

关键词：

D O I：

10.1016/j.transproceed.2005.11.044

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 [免疫学];

摘要：

Aims. Acute on chronic liver failure (AoCLF) is associated with a high mortality rate. Artificial liver support system (ALSS) is useful to bridge patients with liver failure to liver transplantation or to regenerate their own livers. The aims of this prospective study were to investigate the effects of ALSS on clinical manifestations, liver function, and 30-day survival to probe the factors related to mortality in patients with AoCLF. Methods. In this study, 338 enrolled patients with AoCLF who received ALSS treatment for 1 to 8 sessions, were compared with 312 patients treated with conventional medications. Results. Clinical manifestations and liver functions were significantly improved, namely, decreased levels of serum transaminases, total bilirubin, and bile acid, as well as increased levels of serum albumin following ALSS treatment. The 30-day survival rates of the patients who received ALSS versus controls were 47.9% versus 34.6%, respectively (P = .01). The MELD score and the stage of hepatic encephalopathy were highly associated with mortality (P < .001), but the sessions of ALSS showed a positive relation to the 30-day survival (P < .05). Conclusions. ALSS appears to be efficacious and safe for the treatment of patients with AoCLF. Both model for end-stage liver disease (MELD) score and hepatic encephalopathy are useful to predict the mortality of patients.

引用

页码：4359 / 4364

页数：6

共 26 条

[1]

ACUTE LIVER-FAILURE [J].