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急性循环功能不全时,心脏排泄机能障碍,可使肝血流量显著下降,从而引起大量肝细胞坏死,导致急性心衰肝。我院自1974年以来收治4例,报告如下。例1,男,24岁,因先天性室间隔缺损并亚急性细菌性心内膜炎,于1974年10月12日入院。肝功能 GPT、TTT、TFT 均正常。入院后用强心、抗感染治疗,慢性心衰仍未纠正。未曾输血。1975年3月19日出现一过性神志不清约2～3分钟,当时血压17.3/2.7kPα。继之,神志恍惚,3月22日出现巩膜黄染,肝肋下3cm,血清总胆红素547μm-ol/L,间接胆红素30.8μmol/L,直接胆红素
Acute circulatory insufficiency, cardiac dysfunction, liver blood flow can be significantly decreased, causing a large number of liver cell necrosis, leading to acute heart failure. Our hospital since 1974 admitted to 4 cases, the report is as follows. Example 1, male, 24 years old, admitted to hospital on October 12, 1974, due to congenital ventricular septal defect and subacute bacterial endocarditis. Liver function GPT, TTT, TFT are normal. After admission with cardiac, anti-infection treatment, chronic heart failure has not been corrected. No blood transfusion. March 19, 1975 appeared transient unconscious about 2 to 3 minutes, when blood pressure 17.3 / 2.7kPα. Followed by, trance, March 22, scleral yellow dye, liver ribs 3cm, serum total bilirubin 547μm-ol / L, indirect bilirubin 30.8μmol / L, direct bilirubin