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肝脏活检对不同类型肝炎的诊断价值

The Diagnostic Value of Liver Biopsy on Various Types of Hepatitis

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【摘要】 110例黄疸深的各型病毒性肝炎作肝穿活组织检查,发现临床诊断为暴发型肝炎的病例有两种病理表现:一种是肝细胞严重肿胀伴有大小不等坏死灶病变,其病死率低(3/16)。另一种是肝细胞大块坏死病变,全部死亡(3/3)。本组临床诊断与病理相符者66%。因此,肝穿活检可纠正临床的误诊,并为临床评价疗效、判断预后提供病理依据,且将为研究其发病机制提供可能的途径。

【Abstract】 Liver biopsies were performed in 110 cases of deep-jaundiced viral hepatitis of different types. Fulminant hepatitis showed two different types of liver cell damage. One was severe swelling of liver cells with foci of ceil necrosis of various extent, the mortality of this type was low (3/16). Theother type was characterized by massive cell necrosis, all of them died (3/3).The clinical diagnosis corresponded with the pathological findings in 66%. Thus liver biopsy might be used to correct the clinical misdiagnosis, offer a histological basis for evaluating the treatment and prognosis, and as a possible way,for studying the machanism of viral hepatitis.

  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,1982年06期
  • 【被引频次】1
  • 【下载频次】52
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