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肝病种类繁多,临床检验的项目也非常多。据统计,目前各种肝功能检查指标已达数百种之多。因此,无论从临床诊断需要还是从病人经济负担角度考虑,都要求对各种肝功能试验做正确、合理的选择。本文就临床上较为常见的某些肝病的常用生化检验项目组合作一简要阐述。肝脏疾病生化检验项目肝脏结构的复杂性和功能的多样性决定了肝病时体内生理生化指标变化的广泛性。一种肝功能试验只能反映肝功能的一个侧面。目前尚无一种检验方案能完整地反映出肝脏功能的全貌。另外,肝脏有较强的再生能力和代偿功能,即使肝脏组织有相当部分受损,肝脏功能仍可不显示出变化,可见肝功能检查结果若为阴性,也不能完全排除肝脏无疾病。此外,不同的致病因素也容易影响到肝细胞的结构与功能发挥,体现在临床上为新陈代表的差异表现及发病机制的区分。从而表现出不同的临床症状和体征。
A wide range of liver diseases, clinical testing of the project is also very large. According to statistics, at present a variety of indicators of liver function has reached hundreds of as many. Therefore, both from the clinical diagnosis needs and from the perspective of the patient’s financial burden, require a variety of liver function tests to make the right and reasonable choice. In this paper, some of the more commonly used clinical common liver biochemistry test project portfolio for a brief description. Liver disease biochemical test items The complexity of the liver structure and the diversity of functions determines the wide range of physiological and biochemical changes in the liver disease. A liver function test can only reflect one aspect of liver function. At present, there is no test plan to completely reflect the whole picture of liver function. In addition, the liver has a strong regenerative capacity and compensatory function, even if a considerable part of the liver tissue damage, liver function may still show no change, showing that if the liver function test results were negative, it can not completely rule out the liver disease. In addition, different pathogenic factors also easily affect the structure and function of hepatocytes, reflected in the clinical representative of the differences between the performance and pathogenesis of the distinction. Thus showing different clinical symptoms and signs.