肝不全
WordNet
- pursue a positive and satisfying existence; "You must accept yourself and others if you really want to live"
- actually being performed at the time of hearing or viewing; "a live television program"; "brought to you live from Lincoln Center"; "live entertainment involves performers actually in the physical presence of a live audience" (同)unrecorded
- abounding with life and energy; "the club members are a really live bunch"
- charged with an explosive; "live ammunition"; "a live bomb"
- exerting force or containing energy; "live coals"; "tossed a live cigarette out the window"; "got a shock from a live wire"; "live ore is unmined ore"; "a live bomb"; "a live ball is one in play"
- highly reverberant; "a live concert hall"
- in current use or ready for use; "live copy is ready to be set in type or already set but not yet proofread"
- lead a certain kind of life; live in a certain style; "we had to live frugally after the war"
- not recorded; "the opera was broadcast live"
- of current relevance; "a live issue"; "still a live option"
- lack of success; "he felt that his entire life had been a failure"; "that year there was a crop failure"
- loss of ability to function normally; "kidney failure"
- an act that fails; "his failure to pass the test"
- an unexpected omission; "he resented my failure to return his call"; "the mechanics failure to check the brakes"
- a person with a record of failing; someone who loses consistently (同)loser, nonstarter, unsuccessful person
- an event that does not accomplish its intended purpose; "the surprise party was a complete failure"
- a person who has a special life style; "a high liver"
- large and complicated reddish-brown glandular organ located in the upper right portion of the abdominal cavity; secretes bile and functions in metabolism of protein and carbohydrate and fat; synthesizes substances involved in the clotting of the blood; sy
- liver of an animal used as meat
- someone who lives in a place; "a liver in cities"
PrepTutorEJDIC
- 『生きている』,生命がある / 《副詞[句]を伴って》〈人などが〉『生き続ける』 / 〈物事が〉長く続く,存続する / 《場所を表す副詞[句]を伴って》〈人などが〉『住む』,居住する / 《副詞[句]を伴って》『生活する』,暮らす / 生人を楽しむ,おもしろく桟らす / 《a+形容詞癌lifeを目的語にして》〈…を生活〉‘を'する / 〈思想など〉‘を'実銭する
- 《名詞の前にのみ用いて》『生きている』 / 『活気のある』 / (問題などが)当面の / 燃えている / (弾丸などが)まだ爆発してない,未発の / まだ動いている(働いている),有効な / 電流が通じている / (放走が)生の,実況の
- 〈U〉(…における)『失敗』,不成功《+『in』+『名』(do『ing』)》 / 〈C〉失敗者,落後者;失敗した企て,不できなもの / 〈U〉〈C〉怠慢,不履行 / 〈U〉〈C〉(…の)不足,欠乏《+『of』+『名』》 / 〈U〉〈C〉(…の)破産《+『of』+『名』》 / 〈U〉(…の)『衰弱』,減退《+『in』(『of』+『名』》
- (ある態度で)生活する人;居住者
- 〈C〉『肝臓』 / 〈U〉(食用にする)動物の肝臓,レバー
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/04/10 18:50:07」(JST)
[Wiki en表示]
Liver failure |
A person with massive ascites and caput medusae due to cirrhotic liver failure
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Classification and external resources |
ICD-10 |
K72.9 |
ICD-9 |
573.8 |
DiseasesDB |
5728 |
eMedicine |
med/990 |
Patient UK |
Liver failure |
MeSH |
D017093 |
Liver failure is the inability of the liver to perform its normal synthetic and metabolic function as part of normal physiology. Two forms are recognised, acute and chronic.[1]
Acute
Main article: Acute liver failure
Acute liver failure is defined as "the rapid development of hepatocellular dysfunction, specifically coagulopathy and mental status changes (encephalopathy) in a patient without known prior liver disease".[2]:1557
The diagnosis of acute liver failure is based on physical exam, laboratory findings, patient history, and past medical history to establish mental status changes, coagulopathy, rapidity of onset, and absence of known prior liver disease respectively.[2]:1557
The exact definition of "rapid" is somewhat questionable, and different sub-divisions exist which are based on the time from onset of first hepatic symptoms to onset of encephalopathy. One scheme defines "acute hepatic failure" as the development of encephalopathy within 26 weeks of the onset of any hepatic symptoms. This is sub-divided into "fulminant hepatic failure", which requires onset of encephalopathy within 8 weeks, and "subfulminant", which describes onset of encephalopathy after 8 weeks but before 26 weeks.[3] Another scheme defines "hyperacute" as onset within 7 days, "acute" as onset between 7 and 28 days, and "subacute" as onset between 28 days and 24 weeks.[2]:1557
Chronic
Main article: Chronic liver failure
Chronic liver failure usually occurs in the context of cirrhosis, itself potentially the result of many possible causes, such as excessive alcohol intake, hepatitis B or C, autoimmune, hereditary and metabolic causes (such as iron or copper overload, Steatohepatitis or non-alcoholic fatty liver disease).
References
- ^ O'Grady JG, Schalm SW, Williams R (1993). "Acute liver failure: redefining the syndromes". Lancet 342 (8866): 273–5. doi:10.1016/0140-6736(93)91818-7. PMID 8101303.
- ^ a b c Sleisenger, edited by Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt; consulting editor, Marvin H. (2009). Sleisenger & Fordtran's gastrointestinal and liver disease pathophysiology, diagnosis, management (9th ed. ed.). St. Louis, Mo.: MD Consult. ISBN 978-1-4160-6189-2.
- ^ Sood, Gagan K. "Acute Liver Failure". Mescape. Retrieved 14 December 2011.
Organ failure
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General |
- Heart failure
- Respiratory failure
- Liver failure
- Acute liver failure
- Chronic liver failure
- Renal failure
- Acute renal failure
- Chronic renal failure
- Encephalopathy
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Multiple |
- Multiple organ dysfunction syndrome
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UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Evaluation of an ADVanced Organ Support (ADVOS) system in a two-hit porcine model of liver failure plus endotoxemia.
- Al-Chalabi A1, Matevossian E2, von Thaden A3, Schreiber C4,5, Radermacher P6, Huber W7, Perez Ruiz de Garibay A5, Kreymann B8,9.
- Intensive care medicine experimental.Intensive Care Med Exp.2017 Dec;5(1):31. doi: 10.1186/s40635-017-0144-3. Epub 2017 Jul 4.
- PMID 28677045
- Effects of immunization and checkpoint inhibition on amodiaquine-induced liver injury.
- Mak A1, Johnston A1, Uetrecht J1.
- Journal of immunotoxicology.J Immunotoxicol.2017 Dec;14(1):89-94. doi: 10.1080/1547691X.2017.1290716.
- PMID 28279082
Japanese Journal
- Living Donor Liver Transplantation for Acute Liver Failure : Comparing Guidelines on the Prediction of Liver Transplantation
- Exercise training enhances in vivo clearance of endotoxin and attenuates inflammatory responses by potentiating Kupffer cell phagocytosis
- 臨床報告 胃全摘後急速に進行し肝不全をきたしたNAFLDの1例
Related Links
- The diagnosis of acute liver failure is based on physical exam, laboratory findings , patient history, and past medical history to establish mental status changes, coagulopathy, rapidity of onset, and absence of known prior liver disease ...
- 11 Jul 2012 ... Liver failure can occur gradually or suddenly. Learn more about liver failure from the experts at WebMD.
Related Pictures
★リンクテーブル★
[★]
- 英
- hepatic failure, liver failure, hepatic insufficiency, liver insufficiency
- 同
- 肝機能不全
- 関
- 肝障害, 肝機能障害, 肝臓障害, 肝機能異常
病型と病因
- 1. 急性肝不全:劇症肝炎(急激に肝予備能が低下。ウイルス性、薬剤性など)など。
- 2. 慢性肝不全:非代償性肝硬変、末期肝癌など
症候
- 1. 全身倦怠感および消化器症状(悪心、嘔吐など)
- 2. 肝性脳症
- 意識障害などの精神症状、羽ばたき振戦、肝性口臭など
- 肝の機能低下および門脈大循環の側副血行路のため、血中に蓄積した物質が脳代謝障害を起こすと考えられる。
- 血中アンモニア値上昇、フィッシャー比(血中分岐鎖アミノ酸/芳香族アミノ酸比)の低下、脳波の徐波化と三相波出現がみられる。
- ビリルビンの代謝障害(抱合や輸送)による血中ビリルビン値の上昇。
- 1) 膠質浸透圧低下:↓肝でのアルブミン産生量 → ↓膠質浸透圧 → ↑組織外液
- 2) 門脈圧亢進
[★]
劇症肝不全
- 関
- acute hepatic failure、acute liver failure、fulminant hepatic failure
[★]
慢性肝不全
- 関
- chronic hepatic failure
[★]
急性肝不全 ALF
- 同
- ALF
[★]
- 失敗、不首尾
- 失敗して企て、不出来なもの、失敗者。(教育)落第、落第点
- 怠慢、不履行(to do)。支払い不能、破産、倒産
- 無いこと。不十分、不足
- (力などの)減退。(医)機能不全。故障。(機)破壊、破損
- 関
- abortion、fail、failing、imperfecta、incompetence、insufficiency、unsuccessful、unsuccessfully
[★]
- [liv]
- [laiv]
- 同
- LAIV
[★]
肝臓