[Liver parameters in intensive care medicine]. / Leberparameter in der Intensivmedizin.
Zentralbl Chir
; 138(6): 636-42, 2013 Dec.
Article
em De
| MEDLINE
| ID: mdl-22565500
ABSTRACT
Elevated liver function tests in ICU-bound patients are associated with a greater risk of mor-tality. Chronic liver diseases as well as acute events and complications of therapy are among the causes. The disorder could further be investigated by assessment of liver cell integrity markers (AST, ALT and GLDH), cholestasis parameters -(bilirubin, GGT, ALP) and liver synthethic function (albumin, coagulation profile). Ultrasound and elastography are cheap and mobile options to evaluate chronic liver disease, cholestasis or perfusion of the liver. The interpretation of the results should include the medical history on the ICU. Liver injury could be due to septic or isch-aemic complications as well as toxic side effects or parenteral nutrition. The main therapeutic option is to identify the cause of the liver dysfuntion and to eliminate it as far as possible.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cuidados Críticos
/
Hepatopatias
/
Testes de Função Hepática
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
De
Revista:
Zentralbl Chir
Ano de publicação:
2013
Tipo de documento:
Article