Vol. 3, Issue 3 (2017)
Assessment of acute hepatic failure in children with encephalopathy
Author(s): Dr. Umesh Kumar, Dr. Manoj Kumar Ram Bankey Bihari Singh
Abstract: Hepatic encephalopathy can occur in those with acute or chronic liver disease . Episodes can be triggered by infections, GI bleeding, constipation, electrolyte problems, or certain medications . The underlying mechanism is believed to involve the build up of ammonia in the blood, a substance that is normally removed by the liver. This study is planned in, Anugrah narayan magadh medical college and hospital. Total 30 children’s with Children with increased liver encephalopathy were admitted in the study. The neurological examination was performed in all patients. On the basis of history and clinical examination, staging of hepatic encephalopathy was done. Acute hepatic failure is a disease with high mortality rate. This is more so if bleeding manifestations are there. Hepatitis A virus Is a common agent of Acute hepatic Failure in children while hepatitis B has become less common. many reasons of Acute hepatic failure still to be established largely due to scarcity of new diagnostic modalities. Facility for liver transplantation is still out of reach to a majority of population and where there it is available, it is unaffordable for the most. Therefore focus should be in proper implementation of prevention such as vaccination and society education.