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本文报告1例由于急性心肌梗塞心源性休克导致的可逆性肝功能衰竭病例,以肝性脑病以及显著的肝功能试验异常(转氨酶上升至正常1000倍)为临床特征,同时伴肾功能衰竭需行腹膜透析。本例存活长达9年,随访可见肝功能恢复正常。患者男性,69岁,高加索人,于1974年8月24日因急性下侧壁心肌梗塞而入院。既往无接触损肝物质和大量饮酒史。体检:四肢冷,脉弱、120次/min、规则,血压130/84mmHg,可闻S_4奔马律,有可疑的低心搏出量。随后出现血压下降及伴完全性传导阻滞的
This article reports 1 case of reversible liver failure due to cardiogenic shock due to acute myocardial infarction. Hepatic encephalopathy and significant liver function abnormalities (aminotransferase increased to 1000 times normal) as the clinical features, accompanied by renal failure need Peritoneal dialysis. This case survived up to 9 years, follow-up showed normal liver function returned to normal. The patient, male, 69 years old, Caucasian, was admitted on August 24, 1974 due to acute inferior wall myocardial infarction. Previous non-contact loss of liver substances and a large number of drinking history. Physical examination: cold limbs, weak pulse, 120 beats / min, rules, blood pressure 130 / 84mmHg, can be heard S_4 gallop, suspicious low cardiac output. Subsequent decline in blood pressure and with complete conduction block