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色氨酸耐量试验是一项新的敏感的肝功能试验。本文64例慢性血吸虫病患者受试,肝炎后肝硬化15例对照。耐量重度损害在肝炎后肝硬化达93.3％,而血吸虫病仅23.4％,其中以腹水型居多数,且乙肝病毒标记多为阳性,3例腹水消退,白蛋白回升者耐量恢复正常;慢性型无重度损害,差别显著(P<0.01)。本文队为该试验可辅助血吸虫病肝纤维化与肝炎后肝硬化的鉴别诊断;晚期血吸虫病耐量持续重度损害者要考虑混合性肝硬化之可能。
Tryptophan tolerance test is a new sensitive liver function test. 64 cases of chronic schistosomiasis patients in this study, 15 cases of post-hepatitis cirrhosis control. Severe endurance of liver cirrhosis in hepatitis after up to 93.3%, while only 23.4% of schistosomiasis, of which the majority of ascites and hepatitis B virus markers were positive, 3 cases of ascites subsided, albumin regain tolerance to normal; chronic type Severe damage, significant difference (P <0.01). The team for this test can assist schistosomiasis in the differential diagnosis of liver fibrosis and posthepatitis cirrhosis; advanced schistosomiasis continued severe damage tolerance to consider the possibility of mixed cirrhosis.