アルコール性肝硬変に伴う肝性脳症に対するフルマゼニル投与の有用性の検討

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タイトル別名
  • Efficacy of flumazenil, a benzodiazepine antagonist, in patients with alcoholic liver cirrhosis complicating hepatic encephalopathy.

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説明

The Ievels of plasma benzodiazepine (BZ) -1ike substance in patients with hepatic encephalopathy (HE) are recently reported to be increased in serum and cerebrospinal fluid and this is assumed as one of the cause of HE.<BR>We investigated the efficacy of flumazenil, a specific antagonist of brain BZ receptor, in ten patients of alcoholic liver cirrhosis with HE. Flumazenil was administered intravenously as a bolus. Changes of HE grade and electroencephalogram (EEG) were recorded. Improvement of HE was observed in six patients, two patients had no relapse of HE, but in the other four patients, the effect continued for 30-120 minutes and then HE recurred. Improvement of EEG was noticed in six patients. Flumazenil is not a therapy for liver failure itself. However, it is useful to control the patients with HE.

収録刊行物

  • 肝臓

    肝臓 38 (4), 220-224, 1997

    一般社団法人 日本肝臓学会

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