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药物性肝炎196例临床分析
引用本文:俞秀丽,过建春,石伟珍,谢蕾,岑立冲.药物性肝炎196例临床分析[J].国际流行病学传染病学杂志,2009,36(2).
作者姓名:俞秀丽  过建春  石伟珍  谢蕾  岑立冲
作者单位:杭州市第六人民医院中西医结合科,310014
摘    要:目的 分析196例药物性肝炎患者的临床资料,为临床安全用药提供帮助.方法 回顾性分析196例药物性肝炎患者的临床表现、致病药物种类、药物引起肝损害的出现时间以及各型药物性肝炎的ALT水平特点.结果 引起药物性肝炎的药物种类众多,其中中药占了很高比例(91/196,46.43%).本组药物性肝炎中肝细胞型59例、胆汁淤积型69例和混合型68例.结论 了解药物性肝炎的特点,有助于提高临床医师对药物性肝炎的认识,提高临床用药的安全性.

关 键 词:肝炎  慢性  药物性  中药  重型肝炎

Clinical analysis of 196 cases of drug-induced hepatitis
YU Xiu-li,GUO Jian-chun,SHI Wei-zhen,XIE Lei,CEN Li-chong.Clinical analysis of 196 cases of drug-induced hepatitis[J].International Journal of Epidemiology and Infectious Disease,2009,36(2).
Authors:YU Xiu-li  GUO Jian-chun  SHI Wei-zhen  XIE Lei  CEN Li-chong
Abstract:Objective To analyse, the clinical data of 196 cases of drng-induced hepatitis and to improve the medication safety in clinical practice. Methods Retrospective analysis on the clinical manifestations, species of drugs inducing liver injury,time interval of drug application and liver injury,features of ALT level in 196 cases of drng-induced hepatitis. Results Species of drugs inducing hepatitis were diverse, and among the total, Chinese herbal drugs were very common(91/196,46.43% ).There were 59 cases of hepatocyte-injury type, 69 cases of cholestasis type and 68 cases of mixed type in this drug-induced hepatitis group. Conclusions Understanding the features of drug-induced hepatitis is helpful to improve the medication safety in clinical practice.
Keywords:Hepatitis  chronic  drug-induced  Chinese herbal drugs  Serious hepatitis
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