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在慢性活动性肝炎(慢活肝)过程中,一旦出现胆汁郁积就会发生与原发性胆汁性肝硬化的鉴别诊断同题。有人建议应用肾上腺皮质激素作诊断性治疗来加以鉴别.本文报道14例胆汁郁积型慢活肝应用强的松治疗的结果.男女各2例,年龄为18～52(平均34)岁,均发生伴有搔痒的复发性黄疸,其中2例有眼睑黄色疣或黄色瘤。体检2例有肝脾肿大及蜘蛛痣,实验室检查:4例均有高胆红素血症、转氨酶升高(为正常值的3～20倍)、硷性磷酸酶升高(为正常值的2～4倍)及 IgG 的轻度升高。除1例的 HBsAg 阳性外,其他3例的 HBsAg 和全部病例的抗 HBs、抗 HBc、
In the chronic active hepatitis (slow liver) process, in the event of cholestasis will occur with the diagnosis of primary biliary cirrhosis with the same title. It is suggested that the application of adrenal cortex hormones as a diagnostic treatment to be identified.In this paper, 14 cases of cholestatic slow-living liver application of prednisone treatment results, two men and women in each case, aged 18 to 52 (average 34) years of age, have occurred Recurrent jaundice accompanied by itching, of which 2 cases were eyelid yellow warts or yellow tumor. Physical examination in 2 cases with hepatosplenomegaly and spider nevus, laboratory tests: 4 cases have hyperbilirubinemia, elevated transaminases (3 to 20 times the normal value), elevated alkaline phosphatase (normal 2 to 4 times the value) and a slight increase in IgG. In addition to one case of HBsAg positive, the other three cases of HBsAg and all cases of anti-HBs, anti-HBc,