Acute liver failure in neonates

被引:36
作者
Dhawan, A [1 ]
Mieli-Vergani, G [1 ]
机构
[1] Kings Coll Hosp London, Variety Club Childrens Hosp, Paediat Liver Ctr, Inst Liver Studies,Kings Coll Sch Med, London SE5 9RS, England
关键词
neonatal acute liver failure; coagulopathy; herpes simplex virus; metabolic disease; neonatal haemochromatosis; liver transplant;
D O I
10.1016/j.earlhumdev.2005.10.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Acute liver failure (ALF) in neonates is a rare but often fatal event. Though in adults and older children, a main symptom of ALF is hepatic encephalopathy, this is very difficult to diagnose and prove in infants. Causes of ALF in neonates encompass metabolic, infectious and haematological disorders, congenital vascular/heart abnormalities, and drugs. Infants with ALF should only be treated in specialised paediatric hepatology centres with facilities for liver transplantation, since for many liver transplant, with a long term survival of over 60%, is the only therapeutic option. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1005 / 1010
页数:6
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