Article: Management of fulminant hepatic failure at Queen Mary Hospital

File Download Links for fulltext
(May Require Subscription)
Supplementary
  • Basic View
  • Metadata View
  • XML View
TitleManagement of fulminant hepatic failure at Queen Mary Hospital
AuthorsFan, ST1
Lo, CM
Lo, RJW1
Fung, KY1
Wei, W
Chen, YB
Lai, CL1
Ng, IOL1
Yuen, KY1
Chan, J1
Wong, J
Issue Date1997
PublisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/
CitationChinese Medical Journal, 1997, v. 110 n. 6, p. 482-484 [How to Cite?]
AbstractObjective To evaluate the strategy of the management of patients with fulminant hepatic failure at Queen Mary Hospital. Methods In the period 1994 through 1996, 30 patients with fulminant hepatic failure were managed by active supportive treatment in the Intensive Care Unit in preparation for liver transplantation. Liver transplantation was performed in 14 patients (aged 17-47), 3 of whom received liver grafts from brain-stem dead donors and 11 received live-related grafts from family members. The median duration from admission to liver transplantation was 3 days (range: 1-6 days). Results Thirteen patients (93%) survived the liver transplantation and are well after a median period of follow-up of 7 months. The only mortality was in a patient with pre-existing renal transplantation and hepatitis B infection, who died from intra-abdominal candidiasis. Conclusion The strategy of active supportive treatment and early liver transplantation using live-related liver graft is probably the key to the success in the management of fulminant hepatic failure in our series.
ISSN0366-6999
2011 Impact Factor: 0.864
2011 SCImago Journal Rankings: 0.077
ISI Accession Number IDWOS:A1997XM38400016
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorFan, ST
dc.contributor.authorLo, CM
dc.contributor.authorLo, RJW
dc.contributor.authorFung, KY
dc.contributor.authorWei, W
dc.contributor.authorChen, YB
dc.contributor.authorLai, CL
dc.contributor.authorNg, IOL
dc.contributor.authorYuen, KY
dc.contributor.authorChan, J
dc.contributor.authorWong, J
dc.date.accessioned2010-09-06T08:50:53Z
dc.date.available2010-09-06T08:50:53Z
dc.date.issued1997
dc.description.abstractObjective To evaluate the strategy of the management of patients with fulminant hepatic failure at Queen Mary Hospital. Methods In the period 1994 through 1996, 30 patients with fulminant hepatic failure were managed by active supportive treatment in the Intensive Care Unit in preparation for liver transplantation. Liver transplantation was performed in 14 patients (aged 17-47), 3 of whom received liver grafts from brain-stem dead donors and 11 received live-related grafts from family members. The median duration from admission to liver transplantation was 3 days (range: 1-6 days). Results Thirteen patients (93%) survived the liver transplantation and are well after a median period of follow-up of 7 months. The only mortality was in a patient with pre-existing renal transplantation and hepatitis B infection, who died from intra-abdominal candidiasis. Conclusion The strategy of active supportive treatment and early liver transplantation using live-related liver graft is probably the key to the success in the management of fulminant hepatic failure in our series.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationChinese Medical Journal, 1997, v. 110 n. 6, p. 482-484 [How to Cite?]
dc.identifier.epage484
dc.identifier.hkuros28205
dc.identifier.isiWOS:A1997XM38400016
dc.identifier.issn0366-6999
2011 Impact Factor: 0.864
2011 SCImago Journal Rankings: 0.077
dc.identifier.issue6
dc.identifier.openurl
dc.identifier.pmid9594252
dc.identifier.scopuseid_2-s2.0-2442615059
dc.identifier.spage482
dc.identifier.urihttp://hdl.handle.net/10722/84263
dc.identifier.volume110
dc.languageeng
dc.publisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/
dc.publisher.placeChina
dc.relation.ispartofChinese Medical Journal
dc.relation.referencesReferences in Scopus
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshFemale
dc.subject.meshHepatic Encephalopathy - surgery
dc.subject.meshHong Kong
dc.subject.meshHumans
dc.subject.meshLiver Transplantation - mortality
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPostoperative Complications - prevention & control
dc.subject.meshPreoperative Care
dc.subject.meshSepsis - prevention & control
dc.titleManagement of fulminant hepatic failure at Queen Mary Hospital
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong