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Serum hepatic enzyme manifestations in patients with severe acute respiratory syndrome: Retrospective analysis
引用本文:Cui HJ,Tong XL,Li P,Hao YX,Chen XG,Li AG,Zhang ZY,Duan J,Zhen M,Zhang B,Hua CJ,Gong YW. Serum hepatic enzyme manifestations in patients with severe acute respiratory syndrome: Retrospective analysis[J]. World journal of gastroenterology : WJG, 2004, 10(11): 1652-1655. DOI: 10.3748/wjg.v10.i11.1652
作者姓名:Cui HJ  Tong XL  Li P  Hao YX  Chen XG  Li AG  Zhang ZY  Duan J  Zhen M  Zhang B  Hua CJ  Gong YW
摘    要:


关 键 词:免疫血清  肝脏酶表达  急性呼吸窘迫综合征  SARS  非典型肺炎  AST  ALT
收稿时间:2003-09-15

Serum hepatic enzyme manifestations in patients with severe acute respiratory syndrome: retrospective analysis
Cui Hui-Juan,Tong Xiao-Lin,Li Ping,Hao Ying-Xu,Chen Xiao-Guang,Li Ai-Guo,Zhang Zhi-Yuan,Duan Jun,Zhen Min,Zhang Bin,Hua Chuan-Jin,Gong Yue-Wen. Serum hepatic enzyme manifestations in patients with severe acute respiratory syndrome: retrospective analysis[J]. World journal of gastroenterology : WJG, 2004, 10(11): 1652-1655. DOI: 10.3748/wjg.v10.i11.1652
Authors:Cui Hui-Juan  Tong Xiao-Lin  Li Ping  Hao Ying-Xu  Chen Xiao-Guang  Li Ai-Guo  Zhang Zhi-Yuan  Duan Jun  Zhen Min  Zhang Bin  Hua Chuan-Jin  Gong Yue-Wen
Affiliation:1. Chinese-Japanese Friendship Hospital,Beijing 100029,China
2. Faculty of Pharmacy,University of Manitoba,Canada
Abstract:
AIM: To evaluate the hepatic function in patients with severe acute respiratory syndrome (SARS) and possible causes of hepatic disorder in these patients. METHODS: One hundred and eighty-two patients with SARS were employed in a retrospective study that investigated hepatic dysfunction. Liver alanine aminotransferase (ALT), aspartate aminotransferase (AST) and lactic dehydrogenase (LDH) were analyzed in these patients. Patients with different hospital treatments were further investigated. RESULTS: Of the 182 patients, 128(70.3%) had abnormal ALT activity, 57(31.3%) had abnormal AST activity and 87(47.8%) had abnormal LDH activity. The peak of elevated hepatic enzyme activities occurred between the sixth day and the tenth day after the first day of reported fever. Of the 182 patients, 160(87.9%) had been treated with antibiotics, 137(75.2%) with Ribavirin, and 115(63.2%) with methylpredisolone. There was no statistically significant correlation between the duration of Ribavirin treatment and hepatic dysfunction. CONCLUSION: Abnormal liver functions were common in patients with SARS and could be associated with virus replication in the liver.
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