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药物性肝衰竭患者的临床分型及生物化学指标的差异
作者:雷创杰  吴柳萍 
单位:汕头市潮阳区大峰医院 临床药学室 广东 汕头 515154 
关键词:肝功能衰竭 药物性 临床特点 肝功能 
分类号:
出版年,卷(期):页码:2018,10(1):70-73
摘要:

摘要:目的 探讨药物性肝衰竭患者的临床分型及生物化学指标的差异。方法 选取2010年3月至2017
年3月在本院治疗的102例药物性肝衰竭患者为研究对象,回顾性分析患者的病例信息,包括性别、
年龄、原发疾病、症状体征及用药情况,并分析治疗有效患者与未愈患者各生物化学指标的差异。结
果 药物性肝衰竭大多是由中成药(46/102,45.0%)及抗结核药(27/102,26.4%)引起。肝衰竭类型
中以肝细胞型最常见(64/102,62.74%),胆汁淤积型次之(28/102,27.45%)。治疗有效组患者的
ALB水平显著高于未愈患者(t = 0.254,P = 0.001),血清TBA、TBil、DBil和PT水平均低于未愈患
者,差异均有统计学意义(t = 0.341、0.256、0.413、0.510,P < 0.001)。结论 药物性肝衰竭临床类
型多样,临床治疗有效者与未愈者的生物化学指标存在差异,值得临床给予关注。

Abstract: Objective To investigate the different types and biochemical indexes in patients with drug-
induced liver failure. Methods Total of 102 cases with drug-induced liver failure patients in our hospital
from March 2010 to March 2017 were selected. The information of the patients were recorded, including
gender, age, primary disease, symptoms and signs, drug use and related laboratory indicators. The differences
of biochemical indexes between patients in effective group and unrecovered group were compared. Results
Most drug-induced liver failure were caused by proprietary Chinese medicines (46/102, 45.0%) and anti-TB
drugs (27/102, 26.4%). Among all types of liver failure, the most common was hepatocellular type (64/102,
62.74%) and the second is cholestatic type (28/102, 27.45%). The ALB level of patients in effective group
was significantly higher than that in unrecovered group (t = 0.254, P = 0.001). The serum levels of total bile
acid (TBA), direct bilirubin (DBil) and prothrombin time (PT) of patients in effective group were significantly
lower than those in unrecovered group (t = 0.341, 0.256, 0.413, 0.510; P < 0.001). Conclusion The clinical
types of drug-induced liver failure were various, and the biochemical indexes of patients in effective group
were different from those in unrecovered group, which is worthy of being paid attention.

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