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22例抗结核药物所致肝功能衰竭的
临床观察与护理
作者:杨亚君  张俊霞  徐平  范颖  赵红 
单位:首都医科大学附属北京地坛医院 肝病一科 北京 100015 
关键词:抗结核药物 肝功能损伤 药物性 肝功能衰竭 临床护理 
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出版年,卷(期):页码:2016,8(3):112-115
摘要:

摘要:目的 了解抗结核药物所致肝功能衰竭的临床特征和预后,探讨其护理策略。方法 回顾性分析
22例抗结核药物所致肝功能衰竭患者的临床资料,分析其临床特征、并发症和预后。结果 抗结核药
物所致肝功能衰竭的发病年龄以青中年为主,女性比例高于男性。22例抗结核药物导致肝功能衰竭患
者好转出院10例,病死12例,病死率为54.5%。常见的并发症包括腹水、肝性脑病、肝肾综合征及上
消化道出血。结论 抗结核药物所致肝功能衰竭的预后较差,病死率高。采取相应的护理措施对于抗
结核药物所致肝功能衰竭的治疗和预后具有重要的意义。

Abstract: Objective To investigate the clinical characteristics and prognosis of liver failure caused by
anti-tuberculosis drugs, and to discuss the nursing strategy. Methods The clinical data of 22 patients with
anti-tuberculosis drug induced liver failure were collected and clinical characteristics, complications and
prognosis were analyzed retrospectively. Results The mainly onset age of the anti-tuberculosis drug induced
liver failure was young and middle-aged, and the proportion of females was higher than that of males. Ten of
the 22 cases with anti-tuberculosis drugs induced liver failure improved and discharged, 12 cases were dead
and the mortality rate was 54.5%. The common complications included ascites, hepatic encephalopathy,
liver and kidney syndrome, and upper gastrointestinal bleeding. Conclusions The prognosis of liver failure
caused by anti-tuberculosis drugs is poor, and the mortality is high. It is significant to take appropriate
nursing measures for the treatment and prognosis of liver failure caused by anti-tuberculosis drugs.

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