论文部分内容阅读
目的研究药物性肝损伤的病因及临床特点,从而提高临床医师对该病的认识。方法对2003-2008年在本院住院治疗的药物性肝损伤87例进行回顾性研究,分析其所用药物、临床表现和转归等特点。结果引起肝损伤的药物种类繁多,抗结核药物占首位,其次为抗甲状腺药物和解热镇痛药。肝损伤的临床表现无特异性。经正规的治疗后大多数可以得到满意的治疗效果,也有极少数出现肝衰竭。结论肝损伤的致病原因繁多,临床表现未发现特异性,也可导致严重后果,临床医师临床用药时应该注意监测肝功能。
Objective To study the etiology and clinical features of drug-induced liver injury and to improve clinicians’ understanding of the disease. Methods A retrospective study of 87 patients with drug-induced liver injury hospitalized in our hospital from 2003 to 2008 was conducted. The characteristics of the drug, clinical manifestation and outcome were analyzed. Results A wide range of drugs that cause liver damage, anti-TB drugs in the first place, followed by anti-thyroid drugs and antipyretic analgesics. The clinical manifestations of liver injury are nonspecific. Most of the regular treatment can be satisfied with the treatment effect, there are very few cases of liver failure. Conclusion There are many causes of liver injury, no specific clinical manifestations, but also can lead to serious consequences. Clinicians should pay attention to monitoring liver function in clinical use.