Acute liver failure

被引:132
作者
O'Grady, JG [1 ]
机构
[1] Kings Coll Hosp London, Inst Liver Studies, London SE5 9PJ, England
关键词
D O I
10.1136/pgmj.2004.026005
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Acute liver failure is a complex multisystemic illness that evolves quickly after a catastrophic insult to the liver leading to the development of encephalopathy. The underlying aetiology and the pace of progression strongly influence the clinical course. The commonest causes are paracetamol, idiosyncratic drug reactions, hepatitis B, and seronegative hepatitis. The optimal care is multidisciplinary and up to half of the cases receive liver transplants, with survival rates around 75%-90%. Artificial liver support devices remain unproven in efficacy in acute liver failure.
引用
收藏
页码:148 / 154
页数:7
相关论文
共 18 条
[1]
Bernal W, 2003, SEMIN LIVER DIS, V23, P227
[2]
Blood lactate as an early predictor of outcome in paracetamol-induced acute liver failure: a cohort study [J].
Bernal, W ;
Donaldson, N ;
Wyncoll, D ;
Wendon, J .
LANCET, 2002, 359 (9306) :558-563
[3]
COMPLICATIONS OF INTRACRANIAL-PRESSURE MONITORING IN FULMINANT HEPATIC-FAILURE [J].
BLEI, AT ;
OLAFSSON, S ;
WEBSTER, S ;
LEVY, R .
LANCET, 1993, 341 (8838) :157-158
[4]
Chen SC, 1997, ANN NY ACAD SCI, V831, P350
[5]
Haemodynamic changes after high-volume plasmapheresis in patients with chronic and acute liver failure [J].
Clemmensen, JO ;
Larsen, FS ;
Ejlersen, E ;
Schiodt, FV ;
Ott, P ;
Hansen, BA .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1997, 9 (01) :55-60
[6]
Davenport A, 1995, New Horiz, V3, P717
[7]
Pilot-controlled trial of the extracorporeal liver assist device in acute liver failure [J].
Ellis, AJ ;
Hughes, RD ;
Wendon, JA ;
Dunne, J ;
Langley, PG ;
Kelly, JH ;
Gislason, GT ;
Sussman, NL ;
Williams, R .
HEPATOLOGY, 1996, 24 (06) :1446-1451
[8]
GIMSON AES, 1982, LANCET, V2, P681
[9]
The clinical importance of adrenal insufficiency in acute hepatic dysfunction [J].
Harry, R ;
Auzinger, G ;
Wendon, J .
HEPATOLOGY, 2002, 36 (02) :395-402
[10]
Moderate hypothermia for uncontrolled intracranial hypertension in acute liver failure [J].
Jalan, R ;
Damink, SWMO ;
Deutz, NEP ;
Lee, A ;
Hayes, PC .
LANCET, 1999, 354 (9185) :1164-1168