After admission, although the attending doctor, Dr. Zheng Ding, made a thorough examination of Little Ali and gave him active symptomatic treatment such as liver protection, his condition still deteriorated sharply. On the third day of admission, Xiao Li developed acute renal failure on the basis of liver failure, fell into a coma and was dying.
Professor Wang Jing, deputy director of internal medicine and director of hepatobiliary department, immediately organized the whole hospital to discuss Xiao Li's condition and contacted experts from critical care medicine and other departments for consultation. After the consultation, it was decided to transfer Xiao Li to the Department of Critical Care Medicine, the Department of Hepatobiliary Diseases and the Department of Critical Care Medicine for joint treatment.
At this time, Xiao Li's coagulation function is very poor, and there is a great risk of bleeding during deep vein catheterization and dialysis. Doctors in critical care medicine overcame difficulties and performed deep vein catheterization and heparin-free bedside blood purification for Xiao Li. Hepatobiliary doctors go to the Department of Critical Care Medicine to carry out "artificial liver plasma exchange" for patients, combined with treatments such as protecting liver and eliminating jaundice, anti-HBV, deamination, anti-infection and nutritional support. Through the combined treatment of two departments, Xiao Li gradually woke up after three days of coma, and his liver and kidney functions returned to normal after 20 days.
This aggressive, fast-moving disease with short-term liver and kidney failure was finally cured. Xiao Li, who went to the door of death, regained her former vitality and sent a banner to the hospital to express her gratitude.
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You should know that liver failure.
Professor Jing Wong reminded that liver failure is a serious liver damage caused by many factors, which leads to serious dysfunction or decompensation of synthesis, detoxification, metabolism and biotransformation. The main cause of liver failure in China is hepatitis virus (especially hepatitis B virus), followed by drugs and hepatotoxic substances (such as alcohol and chemicals). Liver failure has the characteristics of dangerous onset, rapid progress, difficult treatment and poor prognosis.
Once the following symptoms appear, be careful of liver failure: the urine is dark brown or soy sauce-like, loss of appetite, nausea, itchy skin, mouth and nose bleeding or subcutaneous ecchymosis, yellow eyes and skin, weakness and fatigue.
Plasma exchange of artificial liver is one of the effective treatment methods for liver failure, which can remove all kinds of harmful substances, supplement essential substances, improve the internal environment, temporarily replace some functions of failed liver, create conditions for hepatocyte regeneration and liver function recovery or wait for the opportunity of liver transplantation.
How to prevent liver failure in peacetime;
1. Check the liver function and hepatitis virus replication regularly, and seek medical advice in time if any abnormality is found.
2. Patients receiving oral antiviral drugs should not stop taking drugs without authorization.
3. Quit smoking and drinking. For patients with existing liver diseases, alcohol must be given up.
4. Use drugs with caution to avoid aggravating the original liver disease or drug-induced liver injury caused by metabolic drugs.