中草药致肝小静脉闭塞病11例临床分析

目的评估各种常规临床检测方法对中草药所致肝小静脉闭塞病（HVOD）的诊断价值,并探寻评价疾病转归及预后的方法。方法采用回顾性研究方法,分析我院近3年间服用中草药所致11例HVOD的临床表现、生化指标和影像学特点。结果所有患者均有明确用药史,7例患者服用土三七,2例患者服用雷公藤,2例患者服用不明中草药,CT对HVOD的诊断有重要意义,死亡4例患者均为重型患者。结论我国肝小静脉闭塞病的诊断应重视患者用药史,HVOD患者的疾病分型对病情评估有重要意义。

Clinical analysis of 11 cases of hepatic veno-occlusive disease caused by Chinese herbal medicine

Objective TO assess a variety of routine detection methods for the value of clinical diagnosis of Hepatic veno-occlusive disease（HVOD） caused by Chinese herbal medicine and explore the evaluation method of disease outcome and prognosis.Methods According to retrospective study.we analyze the clinical manifestations,biochemical and imaging features of 11 cases with HVOD in our hospital in the last three years.Results All patients have a clear medical history,7 cases taking the Gynura Rhizome,2 cases taking the Common Threewingnut Root,2 cases taking unknown Chinese herbal medicine.CT plays an important role in the diagnosis of HVOD,all 4 deaths are severe patients.Conclusion The diagnosis of HVOD should pay attention to the medication history of patients,The classification of HVOD patients is important to assess the disease.