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肝功能衰竭合并肝性脑病,由于受病人全身情况的影响及供体来源等条件的限制。一般不宜行肝移植治疗。本文报道一例酒精性肝硬化、肝性脑病,术前经人工肝支持治疗,病人意识状况明显改善,黄疽减轻,腹水减少,行背驮式肝移植成功;提出:人工肝支持治疗可明显改善该类病人的全身状况,使之度过急性期。人工肝支持系统、肝移植联合治疗扩大了肝移植的适应症,为终末期肝病合并肝性脑病病人带来了生机。
Liver failure with hepatic encephalopathy, due to the patient’s systemic condition and donor sources and other conditions. General liver transplantation should not be treated. This article reports a case of alcoholic cirrhosis, hepatic encephalopathy, preoperative artificial liver support therapy, patients with significant improvement in consciousness, reduce jaundice, ascites reduction, piggyback liver transplantation success; proposed: artificial liver support can be significantly improved The general condition of these patients makes it through the acute phase. Artificial liver support system, combined with liver transplantation to expand the indications for liver transplantation, end-stage liver disease patients with hepatic encephalopathy brought vitality.