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題 名 | Drug-Aggravated Liver Injury in a Burn Patient--A Noteworthy Danger You Should Not Ignore=燒傷病人發生藥物誘導性肝損傷--不容忽視的危險 |
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作 者 | 曾琬玲; 陳琮琳; 王冠智; 蔡栩云; 潘信誠; 薛元毓; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 26:1 2017.03[民106.03] |
頁 次 | 頁124-131 |
分類號 | 418.1 |
關鍵詞 | 燒傷; 化學性灼傷; 肝損傷; 藥物誘導性肝損傷; Burn injury; Chemical burn; Liver injury; Hepatotoxicity; Drug-induced liver injury; |
語 文 | 英文(English) |
中文摘要 | 背景:燒燙傷導致的肝功能異常,對燒燙傷病人的預後及存活扮演了重要角色。藥物誘導性肝功能損傷可能更惡化燒燙傷病人的肝功能損害,即便是常見臨床燒燙傷病人使用的藥物都可能存在風險。目的及目標:藉由一位受到化學性灼傷的病人在治療過程中發生肝功能異常的案例,我們討論燒燙傷病人發生肝功能異常的原因、呈現藥物誘導性肝功能異常可能的表現、討論特定且經常使用的藥物對肝功能的影響。材料及方法:我們提出一位中年女性受到化學性灼傷,在住院第八天肝指數異常上升十多倍。我們分析鑑別診斷過程,討論燒燙傷造成的肝功能異常的型態和機轉,最後聚焦藥物誘導性肝損傷。我們討論五種常見使用在燒燙傷病人的藥物引起的肝功能異常。結果:Acetaminophen、Cefazolin、Famotidine、Metoclopramide、Sevoflurane都可能造成藥物誘導性肝損傷。病人在停用特定藥物後,肝功能指數逐漸回復正常範圍。結論:燒燙傷病人在治療過程中發生肝功能損傷並不罕見,謹慎評估並即時停用特定的藥物可以幫助預防更進一步的肝功能傷害。 |
英文摘要 | Background: Burn injury-related hepatic dysfunction plays a pivotal role in survival and clinical outcome after burn injury. Drug-induced liver injury might potentiate the hepatic damage in such highly susceptible patients, even by commonly prescribed drugs. Aim and Objectives: Through case presentation and discussion, we demonstrate drug-induced liver injury by common drugs in a minor burn patient. Materials and Methods: A 42-year-old female patient of 16% chemical burn suffered from an uncommon pattern of drug-induced liver injury during treatment. Drug-induced liver injury is impressed after survey of five possible common drugs. Results: Acetaminophen, cefazolin, famotidine, metoclopramide and sevoflurane are suspicious to induce liver injury. Conclusion: Continuous monitoring of liver function and immediate discontinuity of the hepatotoxic drug are essential to avoid further organ damage and the resultant clinical sequelae. |
本系統中英文摘要資訊取自各篇刊載內容。