[The treatment of acute fatty liver of pregnancy using plasma exchange].
A 33-year-old gravida 6, para 5, developed acute fatty liver of pregnancy at 35 weeks' gestation. This clinical picture was seen after caesarean section and delivery of a healthy infant. Post partum hepatic dystrophy associated with coma hepatica, acute renal failure and disseminated, intravascular coagulation was successfully treated with three large-volume plasmaphereses using FFP exchange plasma in combination with haemodialysis. The patient survived and her liver function was restored to normal.
Gläser
V
V
Medizinischen Klinik, Vogtland-Klinikums Plauen.
Neumann
M
M
D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000628:therapy; D005234:Fatty Liver / Q000150:complications / Q000628:therapy*; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology / Q000628:therapy; D006801:Humans; D010951:Plasma Exchange; D010956:Plasmapheresis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D006435:Renal Dialysis
Behandlung der akuten Schwangerschaftsfettleber mit Plasmaaustausch.