Combination treatment of severe alcoholic hepatitis with continuous hemodiafiltration and steroid hormone: A case report and Literature review
10.2185/jjrm.55.465
- Author:
Gen KURAMOCHI
;
Wakako OHSHIMA
;
Masaki MURAYAMA
;
Takashi KATO
;
Maiko SATO
;
Kenji SHIMA
;
Shin HASEGAWA
;
Munehiro SATO
;
Shinichi TAKEI
;
Osamu ISOKAWA
- Publication Type:Journal Article
- MeSH:
therapeutic aspects;
Steroid hormone, NOS;
Hepatitis, Alcoholic;
Combined;
Review [Publication Type]
- From:Journal of the Japanese Association of Rural Medicine
2006;55(5):465-471
- CountryJapan
- Language:Japanese
-
Abstract:
We experienced a case of severe alcoholic hepatitis. Combination treatment of continuous hemodiafiltration and steroid hormone was started immediately after admission. This treatment was very effective for severe alcoholic hepatitis, resulting in the shortening of the length of hospital stay. The reasons why this treatment was effective were; 1. The patient was younger, so the regeneration ability of liver cells was stronger. 2. The infection and bleeding of digestive organs except for acute renal failure were not found, resulting in the enhancement of the effectiveness for steroid hormone treatment. 3. The intensive blood purification treatment was started immediately. From this experience, we realized again that a fine collaboration of doctors, nurses and clinical engineers was very important in the intensive care of the severe diseases.