Medicinal liquor also hurts the body, forty-year-old woman has long been drunk, drinking "acute liver failure"

Red Network Moment News May 9 (correspondent Li Jianhui) For wine, many people know "drinking pleasantly, drinking heavily and hurting the body", but in life, there are always people who do not believe in "evil", but develop "drinking" into a kind of "alcoholism", drinking half a pound a day, and finally drinking "acute liver failure". Recently, the Second Hospital of Zhuzhou City successfully treated a patient with a dying life of "slow + acute liver failure", after comprehensive treatment such as artificial liver, the patient finally turned the crisis into safety, and is currently recovering well and discharged safely.

I've been an alcoholic for ten years, and I've been drinking half a pound almost every day

Ms. Zhang, 41, lives in Shifeng District, and although she is not very old, she has a "drinking history" for more than ten years. "I remember when I was in my thirties, my lover began to like to drink, almost every day to drink, usually to buy a small bottle of packaging of the kind of supplemental wine, less than a bottle, more than a few bottles, and then the amount of alcohol is getting bigger and bigger, liquor, beer, foreign wine and other kinds of wine, as long as there is at home, she does not refuse, mixed to drink." Many times advised her not to drink, to drink less, she did not listen. In recent years, he has been hospitalized every year for a series of complications caused by drinking alcohol.

The recent hospitalizations are due to drinking alcohol to induce severe pancreatitis and lung infections, but fortunately, the ICU of the Second Municipal Hospital, the Department of Nephrology, the Hemodialysis Center, the General Surgery Department and the Department of Gastroenterology are rescued in a timely manner, and the medical skills are excellent, and they have saved a life. This time, we felt more serious, that day, the family found that she was drunk again delirious, stomach pain and nausea, stomach swelling like 6 months pregnant, food is not eaten, gas can not be lifted, the face is sallow, they rushed to send her to the second hospital, talking about his wife's attachment to wine, Ms. Zhang's lover Mr. Liu is heartache and very helpless.

Facing the difficulties, artificial liver technology has turned the danger into a disaster

After Ms. Zhang was admitted to the hospital urgently, the receiving physician immediately improved a series of related examinations. The examination results showed that Ms. Zhang's total bilirubin was as high as 360umol/L, nearly 20 times higher than the normal value, and the activity of prothrombin was 31% (normal activity was 75% to 100%, and the activity of prothrombin for severe hepatitis was less than 40%), at the same time, a number of test results suggested that Ms. Zhang was also accompanied by alcoholic cirrhosis, severe fatty liver, sepsis, gastrointestinal bleeding, acute renal insufficiency, hepatic ascites, pleural effusion, acute bronchitis, hepatic encephalopathy and other diseases. The current situation for Ms. Zhang, is the leakage of the house on the overnight rain, the original long-term alcoholism has emptied her body, and now there are complications such as slow and acute liver failure with multi-organ failure, which can be described as worse.

Liver failure has an acute onset, rapid progression, and a high case fatality rate, and strong measures must be taken for rescue. After the expert teams of gastroenterology, nephrology, hemodialysis, and critical care medicine conducted a hospital-wide consultation, and communicated with the family, it was decided to immediately take artificial liver technology treatment, remove toxins in Ms. Zhang's body to improve liver function, coagulation function, accelerate liver detoxification, and win repair time for her liver.

After more than a month of day and night rescue by medical staff of nephrology, hemodialysis and other departments, Ms. Zhang finally defeated a series of complications such as hepatic ascites, pleural effusion, sepsis, gastrointestinal bleeding, deep fungal infection, hepatic encephalopathy, etc., and passed through the life and death barriers such as bleeding, coagulation, allergic reactions, secondary infections, etc. After 6 times of artificial liver treatment, the patient's condition was gradually controlled, and finally her condition improved and she was discharged from the hospital.

Recalling Ms. Zhang's treatment process, Zang Cuiping, chief physician of the Director of the Department of Nephrology and Hemodialysis, said that the entire medical team has always adhered to the "patient first, all-out treatment" is a strong guarantee to ensure that Ms. Zhang can overcome the disease. We developed an individualized 'artificial liver' treatment plan for Ms. Zhang - plasma exchange (PE) + dual plasma molecular adsorption system (DPAMS) comprehensive treatment plan, and we also carried out symptomatic treatment such as liver protection, anti-infection and antiviral, and dynamically monitored the liver function indicators of patients at any time. In order to actively cooperate with artificial liver treatment, the nursing department actively implements high-quality, comfortable and scientific nursing services, and provides patients with comfortable and humanistic nursing services in an all-round and timely manner through health education, emotional intervention, medication guidance and daily life guidance.

Expert science popularization: a sharp tool for the treatment of liver failure - artificial liver technology

Liver failure refers to a group of clinical symptoms such as jaundice, coagulation disorders, hepatic encephalopathy, and ascites caused by various factors. Among them, slow plus acute liver failure refers to the rapid decline of liver function in the short term caused by various triggers on the basis of chronic liver disease, and its 90-day mortality rate is as high as 30% to 60%.

Zang Cuiping said that what we call "artificial liver" is a new medical technology that uses blood purification technology to temporarily replace liver function, so that liver cells can be restored and regenerated, and ultimately save patients' lives, this new technology has opened up a new way for the treatment of severe hepatitis and liver failure.

Unlike traditional treatments, DPMAS prosthetic liver technology can temporarily replace the damaged liver to 'exercise' functions. It separates the patient's plasma through the plasma separator, and then adsorbs the patient's plasma through the perfusion device and bilirubin adsorbent in the plasma, and then the adsorbed plasma is transfused back into the patient's body, so as to remove toxins and harmful substances, but also does not affect the loss of protein and other nutrients, no need for additional plasma and protein supplementation, more safe and effective.

The Department of Nephrology and the Hemodialysis Center of the Second Hospital of Zhuzhou City carried out artificial liver technology in Zhuzhou City earlier, successfully rescued many cases of severe hepatitis and liver failure patients, avoided the fate of liver transplantation and even death, and reintegrated them into society and life.

Expert reminder: Cherish and cherish, stay away from alcohol damage

"Deep feelings, a mouthful; shallow feelings, licking; feelings thick, not enough to drink; feelings are thin, can't drink; emotional iron, drinking bleeding." This exhortation is familiar to everyone.

Since most of alcohol is metabolized in the liver, only 2 to 10% is excreted by the kidneys and lungs. The most harmful of alcohol is acetaldehyde, which is stored in large quantities in the human body and can have toxic effects on many tissues and organs. With the increase of the amount and the prolongation of drinking time, from "alcoholic fatty liver", "alcoholic hepatitis", "alcoholic cirrhosis", and finally lead to the occurrence of liver cancer.

Zang Cuiping believes that as little as possible to drink, if you really can't refuse to drink, you can drink a glass of milk or eat a little food before drinking, delay the absorption of alcohol in the stomach, and consciously supplement animal livers, vegetables, fruits and so on that are rich in vitamin B and vitamin C.