Acute hepatitis, liver failure, acute decompensation of chronic liver disease/cirrhosis. Emergency medical management

作者：Muche M; Somasundaram R^*

来源：Notfall & Rettungsmedizin, 2014, 17(2): 159-171.

DOI：10.1007/s10049-014-1842-y

• Liver diseases
• Emergency department
• Transaminases
• Esophageal varices
• Hepatic encephalopathy

Emergency doctors are often challenged by patients presenting with acute hepatitis, liver failure or acute decompensation of chronic liver disease/cirrhosis. Thus, early diagnosis and early start of treatment will determine outcome of those patients. The clinical presentation may vary from asymptomatic patients with just elevated liver enzymes to patients with signs of acute liver failure, which is relative rare in Germany. More often doctors in the emergency department (ED) are faced by patients with chronic liver disease and cirrhosis presenting with upper gastrointestinal bleeding due to esophageal varices, with ascites, spontaneous bacterial peritonitis or encephalopathy. This CME article will focus on the first diagnostic and therapeutic measures to be taken by emergency physicians when these patients are seen in the ED.

• 出版日期2014-3