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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2008, Número 4

Rev Invest Clin 2008; 60 (4)


Conceptos actuales sobre la fisiopatología y diagnóstico de la encefalopatía hepática

Torre A

Idioma: Español
Referencias bibliográficas: 60
Paginas: 321-331
Archivo PDF: 222.34 Kb.


FRAGMENTO

Masculino de 64 años con diagnóstico de cirrosis hepática por virus de hepatitis C establecido hace cinco años. Acude regularmente a sus consultas de seguimiento cada seis meses. En su última cita un mes previo a su ingreso al Servicio de Urgencias contaba con los siguientes estudios: Endoscopia con evidencia de dos paquetes variceales grandes sin datos de mal pronóstico, los cuales fueron ligados. Ultrasonido hepático sin evidencia de lesiones focales y con escaso líquido de ascitis. Hemoglobina en 12.3 g/dL, leucocitos en 4,300 k/dL, plaquetas 100,000 k/dL, sodio en 133 mEq/dL, potasio 4.2 mEq/dL, albúmina 3.5 g/dL, aspartato-aminotransferasa 75 UI/L, alanin-aminotransferasa 80 UI/L, gamaglutamil-transpeptidasa 123 UI/L, fosfatasa alcalina 99 UI/L, y tiempo de protrombina de 14 segundos sobre control de 12 segundos.


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