连续性静脉-静脉血液透析滤过联合血液灌流成功救治大量鱼胆中毒致肝衰竭1例报告

Continuous veno-venous hemodiafiltration combined with hemoperfusion for successful treatment of liver failure caused by massive fish bile poisoning: a case report

临床上,因进食鱼胆所致中毒者时有发生,以进食1~2枚鱼胆多见,通常以胃肠道症状、肝、肾损伤为主,既往经血液透析（hemodialysis,HD）、HD联合血液灌流（hemoperfusion,HP）、连续性静脉-静脉血液滤过（continuous veno-venous hemofiltration,CVVH）抢救成功的案例多有报道,而大量鱼胆中毒患者少见,现将本科应用连续性静脉-静脉血液透析滤过（continuousveno—venoushemodiafiltration，CVVHDF）联合HP成功救治大量鱼胆中毒致肝衰竭1例报道如下。