论文部分内容阅读
目的探讨人工肝支持系统血浆胆红素吸附术治疗甲状腺功能亢进症(甲亢)合并肝功能衰竭(肝衰竭)患者的疗效。方法对5例甲亢合并肝衰竭患者在内科综合治疗的基础上予以血浆胆红素吸附治疗,并在治疗前后测定肝、肾功能、电解质、血氨及血糖等测定。结果经血浆胆红素吸附治疗后高胆红素血症得到明显缓解,总胆红素(TBil)平均下降161.62μmol/L,患者的临床症状明显改善,5例患者4例存活,转入外院内分泌科续治疗甲亢,1例死于肝衰竭。结论对甲亢合并肝衰竭患者应用血浆胆红素吸附治疗效果明显。
Objective To investigate the therapeutic effect of artificial liver support system plasma bilirubin adsorption on patients with hyperthyroidism (Hyperthyroidism) and liver failure (liver failure). Methods Five patients with hyperthyroidism and liver failure were treated with plasma bilirubin adsorption therapy on the basis of comprehensive medical treatment. The liver and kidney function, electrolytes, blood ammonia and blood glucose were measured before and after treatment. Results After treatment with plasma bilirubin, the hyperbilirubinemia was relieved obviously. The average total bilirubin (TBil) decreased by 161.62μmol / L. The clinical symptoms of the patients were significantly improved. Four of the five patients survived and were transferred to the hospital Endocrinology continued treatment of hyperthyroidism, 1 patient died of liver failure. Conclusion The application of plasma bilirubin adsorption in patients with hyperthyroidism and liver failure has obvious effect.