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本文报告了6例慢性心力衰竭患者急性循环衰竭发作,导致大量肝细胞坏死和暴发性肝衰竭。表现在急性循环衰竭后1～3天,患者发生了肝性脑病、黄疸及凝血酶原时间明显延长,而患者的血液动力学状态已恢复到以前的基础水平。本组病例值得注意的表现如下:①6例患者中5例年龄大于60岁;②急性循环衰竭短暂发作所造成的肝损伤,发生在慢性心力衰竭的基础上;③暴发性肝
This paper reports the onset of acute circulatory failure in 6 patients with chronic heart failure, resulting in a large number of hepatocellular necrosis and fulminant hepatic failure. Performance in 1 to 3 days after acute circulatory failure, patients with hepatic encephalopathy, jaundice and prothrombin time was significantly prolonged, and the patient’s hemodynamic status has returned to the previous base level. Noteworthy performance in this group of patients are as follows: ① 6 patients in 5 cases were older than 60 years of age; ② acute circulation failure caused by a brief episode of liver damage, based on chronic heart failure; ③ fulminant liver