Critical illness associated liver dysfunction was found in 172 (85.2%) patients, chronic liver disease in 11 (5.4%) patientsĪnd acute viral hepatitis in 19 (9.4%) patients. Results – LFT abnormalities were present in 202/1126 (17.9%) of the Short-term outcome at 7 days was studied in relation to various parameters. Two hundred and two patients admitted to the MICU with LFTs as per the inclusion criteria were analyzed and their Methods – It was a prospective observational study, conducted from December 2017 to DecemberĢ018 in a tertiary care hospital. Tients with hepatic dysfunction admitted in MICU. Score on admission as a predictor of adverse short term outcome in pa. To evaluate the utility of model for end-stage liver disease (MELD). The occurrence, etiology, clinical profile, laboratory profile and outcome of hepatic dysfunction in patients admitted to the medical intensive care unit Studies which have investigated the spectrum of liver disease, clinical profile and outcome in patients admitted to the MICU. This includes patients with critical illness with or without preexisting liver disease and patients with acute primary liver injury. – Background – A large number of patients admitted to the medical intensive care unit (MICU) have abnormal liver function tests (LFT). Liver function abnormality is common in patients who are admitted to the MICU and its presence is an indicator of poor short-term outcome. Hepatic dysfunction in MICU was associated with poor outcome and a high short-term mortality of 56.4% (114/202). Mortality did not differ significantly between patients with chronic liver disease, patients with acute viral hepatitis and patients with critical illness associated hepatic dysfunction. Requirement for inotropes and mechanical ventilation correlated with poor short-term outcome. Among LFT abnormalities, elevated transaminases, raised international normalized ratio and high MELD score on admission correlated with poor short-term outcome.
Most common symptom was fever (68.3%) followed by vomiting (48.0%). Critical illness associated liver dysfunction was found in 172 (85.2%) patients, chronic liver disease in 11 (5.4%) patients and acute viral hepatitis in 19 (9.4%) patients. LFT abnormalities were present in 202/1126 (17.9%) of the patients admitted to MICU. Two hundred and two patients admitted to the MICU with LFTs as per the inclusion criteria were analyzed and their short-term outcome at 7 days was studied in relation to various parameters. It was a prospective observational study, conducted from December 2017 to December 2018 in a tertiary care hospital. To evaluate the utility of model for end-stage liver disease (MELD) score on admission as a predictor of adverse short term outcome in patients with hepatic dysfunction admitted in MICU. To evaluate the occurrence, etiology, clinical profile, laboratory profile and outcome of hepatic dysfunction in patients admitted to the MICU. There are very few studies which have investigated the spectrum of liver disease, clinical profile and outcome in patients admitted to the MICU. Keywords: Aluminum Phosphide Poisoning EgyptĪ large number of patients admitted to the medical intensive care unit (MICU) have abnormal liver function tests (LFT). Intoxicated cases such as some antioxidants besides supportive measures. In addition, some clinical trials can be used to improve the outcome of these Management of aluminum phosphide poisoning cases is mainly based onĮarly medical intervention and life-saving measures that provide a clear airway andĪdequate breathing besides stabilization of circulation until the elimination of phos�phine gas. There is an increase in morbidity and mortality rates of aluminum phosphide intoxica�tion cases. The efficacy of the medical intervention in cases ofĪluminum phosphide intoxication is still representing a challenge to physicians. Tools in these cases Moreover, the level of plasma renin reflects the dose of aluminum The severity of toxicity besides high levels of SGOT or SGPT and metabolic acidosis.Ĭhest x-ray, electrocardiogram, and electrolytes assay may also be used as assessment Leucopenia and low serum level of cortisol indicate Laboratory investigations can assess the condition of Manifestations particularly arrhythmias and shock without accompanied or previ�ous history of cardiac disease. Of exposure and clinical manifestations that range from gastrointestinal to cardiac It causes multiple organįailure, especially in the cardiovascular system causing high morbidity and mortality.ĭiagnosis of aluminum phosphide poisoning cases depends on the positive history
Magnesium toxicity antidote free#
Aluminum phosphide is one of the significant causes of poisoning in Egypt be�cause of its free availability in the market and its low price.
0 kommentar(er)
