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68例急性药物性肝炎分析
引用本文:王庆治,王素娟,杜鹏程,张丽萍,张帮杰.68例急性药物性肝炎分析[J].中国民康医学,2012,24(13):1538-1540.
作者姓名:王庆治  王素娟  杜鹏程  张丽萍  张帮杰
作者单位:新乡医学院第三附属医院消化科,河南,新乡,453000
摘    要:目的:分析诱发急性药物性肝病的药物种类、临床特点及提高对药物性肝病的认识。方法:回顾性分析68例急性药物性肝炎,对其病因及临床特点进行分析。结果:导致急性药物性肝炎药物以抗结核药物最常见,占29.4%(20/68);其次,中药占25.0%(17/68);然后,抗生素类药物占14.7%(10/68)。临床类型中肝细胞损伤型占30.9%(21/68)、胆汁淤滞型占52.9%(36/68)、混合型占16.2%(11/68)。结论:急性药物性肝炎可由多种药物引起,早期及时停用损肝药物是治疗的关键。

关 键 词:药物  肝病  急性药物性肝炎

Clinical analysis of 68 cases of acute drug induced liver diseases
WANG Qing-zhi , WANG Su-juan , DU Peng-cheng , ZHANG Li-ping , ZHANG Bang-jie.Clinical analysis of 68 cases of acute drug induced liver diseases[J].medical journal of chinese peoples health,2012,24(13):1538-1540.
Authors:WANG Qing-zhi  WANG Su-juan  DU Peng-cheng  ZHANG Li-ping  ZHANG Bang-jie
Institution:,et al(Department of Gastroenterology,the third affiliated hospital of Xinxiang medical college,Xinxiang 453000,China)
Abstract:Objective:To the etiology,clinical characteristics and improve the understanding of acute drug-induced liver disease.Methods:We investigated the causes,incidence and clinical characteristics of drug-induced liver disease in 68 cases retrospectively.Results: The most common agent to induce liver disease was ant tubercular drug 29.4 %(20/68),the second was traditional Chinese medicine 25.0%(17/68),the third was antibiotics 14.7%(10/68).There were 21(30.9%),cases of liver cell injury,36(52.9%) cases of cholestasis and 11(16.2%) mixed cases.Conclusions: Almost all agents used in clinic may cause liver disease.The principal management for the disease is discontinuation of the suspected drugs.
Keywords:Drug  Liver disease  Acute drug-induced liver disease
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