Clinical trial Controlled trial of methylprednisolone therapy in severe acute alcoholic hepatitis
نویسنده
چکیده
The efficacy of methylprednisolone (1 g daily for three days), which is effective in reversing transplant rejection, was assessed in a randomised controlled trial of 55 patients with severe acute alcoholic hepatitis, 34 of whom had encephalopathy. The clinical progress, frequency of bleeding and sepsis, and cause of death were similar in the treatment (27 patients) and control groups (28 patients). There was no significant difference in mortality rgte between the two groups: 57% of the control group and 63% of the treatment group died during the study. Patients' survival depended on the presence or absence of the following features: encephalopathy, serum bilirubin concentration more than 340 Mmol/l, serum creatinine concentration more than 250 umol/l, and histological evidence of cirrhosis as well as severe acute alcoholic hepatitis.
منابع مشابه
Controlled trial of methylprednisolone therapy in severe acute alcoholic hepatitis.
The efficacy of methylprednisolone (1 g daily or three days), which is effective in reversing transplant rejection, was assessed in a randomised controlled trial of 55 patients with severe acute alcoholic hepatitis, 34 of whom had encephalopathy. The clinical progress, frequency of bleeding and sepsis, and cause of death were similar in the treatment (27 patients) and control groups (28 patient...
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تاریخ انتشار 2006