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題名 | 手術後嚴重黃疸之選擇性膽紅素吸附血漿灌流療法:一例報告=Selective Bilirubin-Adsorption Plasma Perfusion Therapy for Severe Postoperative Jaundice: Report of a Case |
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作者 | 葉建宏; 楊國卿; 邱浩彰; | 書刊名 | 臺灣醫學 |
卷期 | 3:5 1999.09[民88.09] |
頁次 | 頁538-542 |
分類號 | 416.247 |
關鍵詞 | 血漿析離術; 血漿灌流; 膽紅素吸附療法; 血漿交換; 膽汁鬱滯; 手術後黃疸; Plasmapheresis; Plasma perfusion; Bilirubin-adsorption therapy; Cholestasis; Plasma exchange; Postoperative jaundice; |
語文 | 中文(Chinese) |
中文摘要 | 我們報告一例冠狀動脈繞道手術後因敗血症合併急性膽汁鬱滯及急性腎衰竭案 例。敗血症發病兩週後,血中總膽紅素值持續惡化至31.6mg/dL,而同時併隨多病源性癲癇 發作。此時,利用膽紅素吸附管進行連續3次的血漿灌流療法,在除去體內46%總膽紅素 之後,臨床上癲癇發作也逐漸改善。因此,選擇性膽紅素吸附療法對手術後嚴重黃疸案例之 血中膽紅素之移除頗有助益。 |
英文摘要 | We report a case of acute cholestasis and renal failure due to sepsis fater coronary bypass surgery. Progressively deteriorating hyperbilirubinemia (up to 31.6mg/dL) developed accompanied by multifocal seizures, two weeks after the onset of sepsis. A total of three sessions of plasma perfusion with a bilirubin-adsorption column removed 46% of the total serum bilirubin and helped control the seizures. Selective bilirubin adsorption therapy may be beneficial for removing serum bilirubin in patients with postoperative jaundice. |
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