Diagnosis and treatment of tumor-associated acute liver failure in children
10.3760/cma.j.issn.1673-4912.2019.01.002
- VernacularTitle:儿童肿瘤相关性肝衰竭的诊断与治疗
- Author:
Ting SUN
1
;
Chunxia WANG
;
Yucai ZHANG
Author Information
1. 上海交通大学附属儿童医院重症医学科 200062
- Keywords:
Malignancy;
Acute liver failure;
Artificial liver support system;
Liver transplanta-tion;
Children
- From:
Chinese Pediatric Emergency Medicine
2019;26(1):5-8
- CountryChina
- Language:Chinese
-
Abstract:
Liver is the most common location for hematogenous spread of solid tumors. Clinically acute hepatic failure ( ALF) secondary to either a solid organ tumor or a hematologic malignancy is rare,but with a poor prognosis and high mortality. The time between the onset of symptoms and ALF was relatively rapid. Malignancy is one of the causes of pediatric acute liver failure (PALF). Common clinical symptoms were jaundice,haemorrhage,and hepatic encephalopathy. It is lack of specific clinical features and difficult to diagnose in early phase. Delayed diagnosis and treatment contribute to poor prognosis. How to combine the treatment of primary tumors and liver protection is critical issue to clinician. The effective therapy for patients with PALF is liver transplantation. In recent years,the development of artificial liver support is to provide a facilitating recovery chance and to prolong the window of opportunity for liver transplantation.
