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为控制病毒性肝炎的流行,对其普查工作已广泛开展,不但要进行病原学检查,还要通过验肝功探讨诊断各型肝炎最灵敏的实验室指标。本文用B超对440例各型肝炎病人进行了探查,对其脏器形态结构变化与肝功能改变的关系分析结果:1.急性黄疸型:肝脏结构无异常黄疸期胆囊可见三种类型异常回声,其随黄疸的消退而逐渐消失。这种异常回声亦可见于重型淤胆型肝炎。异常回声持续时间与血胆红质定量的升高与持续时间有直接关系。一般急黄肝持续2~3周,而另两型持续3~4周或更长。2.重型肝炎肝脏结构可由正常转为异常,随着结构异常的加重、肝功异常愈加明显。转氨酶升高。3.淤胆型肝脏结构无异常。
To control the prevalence of viral hepatitis, its census work has been widely carried out, not only to conduct etiological examination, but also by testing the liver function test to diagnose the most sensitive laboratory indicators of hepatitis. In this paper, 440 patients with hepatitis B were probed for the various types of organ morphological changes and changes in liver function analysis results: 1. Acute jaundice: no abnormal liver structure in the gallbladder visible three types of abnormal echo , Which disappeared with the disappearance of jaundice. This abnormal echo can also be found in severe cholestatic hepatitis. Abnormal echo duration and blood bilirubin quantitative increase and duration are directly related. General acute yellow for 2 to 3 weeks, while the other two for 3 to 4 weeks or longer. 2. Severe hepatitis liver structure can be changed from normal to abnormal, with the increase of structural abnormalities, abnormal liver function more obvious. Elevated aminotransferases. 3. Cholestatic liver structure no abnormalities.