Hepatologische Probleme beim Intensivpatienten und eventuelle Langzeitfolgen

摘要: Hepatic Dysfunction in the Intensive Care Unit. Liver dysfunction is a common finding patients on intensive care units (ICU). Elevated bilirubin marker for poor prognosis these patients. Ischemic hepatitis (also know as shock liver) caused by hypoxia hemodynamically unstable patient. This disorder characterized markedly elevated transaminases absence of other causes liver disease. The presence ischemic associated with outcome and predisposes to multiple organ failure. Survival sepsis-induced cholestasis also reduced. therapeutic approach both disorders limited therapy underlying A recently recognized cause secondary sclerosing cholangitis critically ill patient (SSC-CIP). considered be consequence bile duct leading damage finally causing failure majority SSC-CIP transplantation only established selected Other or jaundice ICU include acalculous cholecystitis, drug-induced injury, obstructive postoperative damage. Jaundice indirect hyperbilirubinemia commonly erythrocyte transfusions. Correct fast diagnosis hepatic diseases crucial J Gastroenterol Hepatol Erkr 2015; 13 (2): 7–10.