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本文分析了我院1958～1982年病理证实的肝结核32例的临床资料。根据临床特点,归纳为5个临床类型,分析探讨其临床规律,为肝结核的鉴别提供线索。肝结核的临床表现多种多样,主要须与病毒性肝炎相鉴别。凡有肝病一般症状,伴发热、消瘦、血沉增快和/或活动或陈旧肝外结核病变者,须着重考虑肝结核的可能,必要时应及早作肝穿刺活检以确诊。
This article analyzes the clinical data of 32 cases of pathologically confirmed liver tuberculosis in our hospital from 1958 to 1982. According to the clinical features, it was summarized into five clinical types, and its clinical rules were analyzed to provide clues for the identification of liver tuberculosis. The clinical manifestations of liver tuberculosis varied, mainly to be differentiated from viral hepatitis. Anyone who has general symptoms of liver disease, fever, weight loss, rapid erythrocyte sedimentation rate, and / or active or out-of-date extrahepatic tuberculosis should give careful consideration to the possibility of liver tuberculosis. Liver biopsy should be confirmed as early as possible if necessary.