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双重血浆吸附系统成功救治甲状腺功能亢进危象合并肝、心衰竭1例报告

王涛 李凤惠 梁静

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Citation:

双重血浆吸附系统成功救治甲状腺功能亢进危象合并肝、心衰竭1例报告

DOI: 10.3969/j.issn.1001-5256.2021.05.039
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:王涛、李凤惠负责收集整理数据,资料分析,撰写论文;梁静负责拟定写作思路。
详细信息
    作者简介:

    王涛(1984—),男,主治医师, 主要从事肝硬化相关并发症的诊治研究

    通信作者:

    梁静, haolele77@Sina.com

  • 中图分类号: R575.3

Successful treatment of thyroid storm with liver failure and heart failure using the double plasma molecular absorption system: A case report

  • 图  1  肝穿刺活检病理染色(HE染色,×200)

    注:a,汇管区炎症细胞浸润;b,肝窦扩张伴灶性胆栓形成。

    图  2  TBil及凝血功能变化趋势

    表  1  4次DPMAS治疗前后胆红素及凝血功能变化

    时间 体温(℃) 心率(次/min) TBil(μmol/L) DBil(μmol/L) TBA(μmol/L) PTA(%) INR
    第1次
      治疗前 38.6 150 488.4 346.6 151.0 68 1.28
      治疗后 37.6 120 279.8 183.8 87.7 25 3.03
    第2次
      治疗前 37.3 116 167.4 90.9 209.3 69 1.26
      治疗后 36.8 90 123.0 53.4 110.2 21 3.53
    第3次
      治疗前 37.8 105 120.9 56.1 291.0 79 1.19
      治疗后 35.9 88 91.2 37.6 131.8 26 2.89
    第4次
      治疗前 36.5 97 97.5 41.5 105.0 106 0.96
      治疗后 36.2 73 71.5 23.1 71.1 39 1.96
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    宁秀景, 何丽丽, 周琦, 等. 长期甲状腺功能亢进致心源性肝硬化1例报告[J]. 临床肝胆病杂志, 2018, 34(4): 840-841. DOI: 10.3969/j.issn.1001-5256.2018.04.029.
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    景婧, 罗生强, 宫嫚, 等. 甲状腺功能亢进症致亚急性肝衰竭1例报告[J]. 临床肝胆病杂志, 2013, 29(9): 707-708. DOI: 10.3969/j.issn.1001-5256.2013.09.019.
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  • 收稿日期:  2020-10-22
  • 录用日期:  2020-12-10
  • 出版日期:  2021-05-20
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