Problem description: The patient went to the county hospital on the 24th and received a fetus injection. On the 25th, the problem could not be found in the morning and transferred to the city-level top three. The child was taken out at noon. The doctor confirmed the multiple organs caused by acute fatty liver during pregnancy Functional failure. On the morning of the 29th, check the liver function bilirubin to 400 (1) for the first plasma exchange. Just finished the fourth time this afternoon. In this case, the family wanted to transfer to the hospital, and it was not ideal after doing it three times. I did it again today. The family was a bit unacceptable. I hope that under the guidance, the plasma exchange can be effective several times.
Question date:2020-10-04
Patient information:Age: 29 years old Gender: Female
Question analysis: Hello! Acute fatty liver of pregnancy mainly causes liver and kidney failure, and plasma exchange is a proven effective treatment. Of course, less than 10% of patients still have poor treatment results.
Guide and suggestion: It is recommended that you follow the advice of the local doctor, do plasma exchange treatment again, protect kidney function and liver function, and cooperate with other treatments. If possible, artificial liver treatment can be used.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed examination