期刊
JOURNAL OF CLINICAL APHERESIS
卷 22, 期 5, 页码 295-298出版社
WILEY
DOI: 10.1002/jca.20140
关键词
hemolytic anemia; acute liver failure; plasmapheresis; continuous veno-venous hemodialysis; molecular adsorbents and recirculating system
类别
Wilsonian crisis is fatal unless copper removal is initiated early and liver transplantation is performed for patients that fulfill criteria for a poor outcome. We report a patient presenting with severe hemolysis and impending acute liver failure that made a rapid recovery with prompt initiation of plasmapheresis and chelation therapy. Rapid copper removal by plasmapheresis alleviated hemolysis and liver injury. A review of the literature was performed examining the use of plasmapheresis and albumin dialysis with continuous veno-venous hemodialysis or molecular adsorbents and recirculating system.
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