Hepatic coma with renal failure, treated by repeated exchange transfusion.

Hepatic coma with renal failure, treated by repeated exchange transfusion.

Hepatic coma following acute hepatic necrosis carries a high mortality in spite of conventional therapy (Katz et al., 1962; McDonald and De la Harpe, 1963; Cook and Sherlock, 1965), but the concomitant development of renal failure makes the prognosis even worse (Hecker and Sherlock, 1956). Owing to the extraordinary capacity of the liver to regenerate, other forms of treatment have recently bee...

Treatment of hepatic coma by exchange blood transfusion.

treatment of hepatic coma by exchange transfusion : a report of three cases

three cases of hepatic coma due to acute hepatitis were treated by exchange transfusion with citrated blood. this was preformed in the first 2 cases (patients no 1 and no 2) after failing to respond to other forms of treatment, and in the last patient, who was admitted to hospital in coma, a few hours after admission. (patient no 3) two of the 3 patients, patients 1 and 3 recovered, 1 died, (pa...

Congenital Thrombocytopenic Purpura Treated by Exchange Transfusion.

The occurrence of thrombocytopenic purpura in babies born to mothers with idiopathic thrombocytopenia is a well recognized though uncommon clinical entity. Robson and Walker (1951) were able to collect from the literature only 19 definite and nine probable examples of this association. The suggestion of Epstein, Lozner, Cobbey and Davidson (1950) that this type of congenital thrombocytopenic pu...

Hydrops foetalis successfully treated by exchange transfusion.

Cases of Rhesus incompatibility resulting in the condition known as hydrops foetalis do badly. Mollison and Cutbush (1954) state 'it is doubtful if infants born with ascites ever survive', and it is difficult to find any record of survival. Heilig, Tudor, Smith and Platou (1948) report two cases of hydrops, one of which survived with a hemiplegia. Van Loghem, van Bolhuis, Soeters and Veeneklaas...