论文部分内容阅读
本文报告100例暴发型肝功能衰竭患者肺水肿的发生率,探讨肺水肿的发病机制,并着重注意肺水肿和脑水肿的相互关系。 100例暴发型肝功能衰竭患者的病因属急性病毒性肝炎者44例;非病毒性肝炎者56例。患者均呈Ⅳ级昏迷且接受标准的支持疗法,部份患者尚接受新鲜冰冻血浆以纠正凝血异常。为防止脑水肿,34例患者使用地塞米松16mg/天。53例接受通过活性碳的血液灌注。52例因肾功能衰竭而行透析疗法。于病程中37例发生肺水肿,均有肺水肿的临床和
This article reports the incidence of pulmonary edema in 100 patients with fulminant hepatic failure, discusses the pathogenesis of pulmonary edema, and focuses on the relationship between pulmonary edema and cerebral edema. Etiology of 100 cases of fulminant hepatic failure in patients with acute viral hepatitis were 44 cases; non-viral hepatitis in 56 cases. Patients were grade Ⅳ coma and received standard supportive therapy, and some patients were still receiving fresh frozen plasma to correct coagulation abnormalities. To prevent cerebral edema, 34 patients used dexamethasone 16mg / day. Fifty-three received blood perfusion through activated carbon. 52 cases of dialysis therapy due to renal failure. In the course of 37 cases of pulmonary edema, both have clinical and pulmonary edema