充血性心力衰竭病人接受氯化銨治疗引起銨中毒

• 作 者: Howard E.Tiektin Joseph F.Fazekas John M.Evans 杨师贤
• 机 构: 山东省立一院内科,
• 出 处: 山东医刊
• 发表日期: 1957年03期
• 关键词: 充血性心力衰竭 形态学改变 病者 肝小叶 肝功能衰竭 氯化銨 呼吸困难 氧消耗率 肝性昏迷 高血压性

在充血性心力衰竭时肝脏时常腫大。許多肝小叶显示組織学的变化,特別在中央部分。在严重病例,形态学改变可向四周发展,并包括門脉周圍区的纖維化。最近很多研究指出肝功能及形态学上改变的程度,与心力衰竭的严重性有一定的关系。在严重的充血性心力衰竭病者,时常伴有大腦功能紊乱,如思睡,迷糊及昏迷等表現;

Liver often swells in congestive heart failure. Many hepatic lobules show histological changes, especially in the central part. In severe cases, morphologic changes can develop around the periphery and include fibrosis around the portal area. Recently, many studies have pointed out that the degree of liver function and morphological changes, and the severity of heart failure have a certain relationship. In severe congestive heart failure patients, often accompanied by brain dysfunction, such as sleep, confusion and coma performance;