Clinical and pathological characteristics of patients with chronic drug-induced liver disease
-
摘要: 目的分析慢性药物性肝病(CDILD)的病因及临床和病理特点,以尽早做出正确诊断与治疗。方法根据服药史、临床表现、血清学指标、病理特点、病程及停药后的治疗效果进行回顾性病例分析。结果 51例CDILD患者平均病程6.5个月,分型以胆汁淤积型为主,常见诱发药物主要是中草药(27.5%),消化系统药(11.8%),解热镇痛类药(11.8%),其中29例CDILD行肝组织活检,病理改变有一定的特征性。51例CDILD患者经住院治疗,治愈32例,好转19例,无恶化或死亡病例。结论 CDILD患者病程较长,以慢性胆汁淤积型为主,常见诱发药物为中草药,病理改变有一定的特征性,预后良好。Abstract: Objective To describe the causative agents, clinical and pathological characteristics of chronic drug-induced liver disease in order to improve the diagnosis and treatment.Methods 51 patients with chronic drug-induced liver disease admitted to our hospital from 2001-2008. The patients were evaluated according to their history of drug use, clinical features, pathological characteristics, liver function tests and serum markers, and the patients' responses to withdrawal drug abuse. Results Cholestatic liver disease was found to be the most frequent diagnosis among chronic drug-induced liver disease patients diagnosed clinically. The drugs which induced chronic liver diseases were traditional Chinese herbal medicine (27.5%) , gastroenteritis drugs (11.8%) , analgesic-antipyretic drugs (11.8%) , and others. 29 patients with liver histology tests were exhibited series of characteristics different from other liver diseases. From the total patients evaluated 32 were cured and 19 were improved.Conclusion Traditional Chinese herbal medicine, gastroenteritis drugs and analgesic-antipyretic drugs are common etiological agents of CDILD. Pathological characteristics of chronic drug induced liver disease are different from other liver diseases.
-
[1]Friedenberg F, Jensen G, Gujral N, et al.Serum albumin is predic-tive of30-day survival after percutaneous endoscopic gastrostomy[J].JPEN J Parenter Enteral Nutr, 1997, 21 (2) ∶72-74. [2]厉有名.药物性肝损害的临床类型及诊断策略[J].中华肝脏病杂志, 2004, 12 (7) ∶445-446. [3]Benichou C.Criteria of drug-induced liver disorders.Report of an International Consensus Meeting[J].J Hepatol.1990, 11 (2) ∶272-276.
本文二维码
计量
- 文章访问数: 3009
- HTML全文浏览量: 22
- PDF下载量: 700
- 被引次数: 0