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乙型肝炎肝硬化代偿期抗病毒治疗伴发溃疡性回结肠炎1例报道

Ulcerative ileitis and colitis appearing during maintaining antiviral therapy of compensated liver cirrhosis of hepatitis B:one case report

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【作者】 程计林黄绍萍马学东赵玉洁唐荣史佩炯冯艳玲

【Author】 CHENG Jilin1,HUANG Shaoping1,MA Xuedong1,ZHAO Yujie1,TANG Rong1,SHI Peijiong1,FENG Yanling21.Department of Gastroenterology and Hepatology;2.Department of Pathology,Shanghai Public Health Clinical Center Affiliated to Fudan University,Shanghai 201508,China

【机构】 复旦大学附属上海市公共卫生临床中心消化内科复旦大学附属上海市公共卫生临床中心病理科

【摘要】 肝炎肝硬化大便潜血阳性临床诊断首先考虑的是上消化道出血,如果没有内镜检查,肝炎肝硬化合并溃疡性回结肠炎症极易被漏诊。国外一些个例报道证实丙型肝炎干扰素抗病毒治疗可以诱发或加重炎症性肠病,然而,涉及肝炎肝硬化乙型代偿期核苷(类)抗病毒药物治疗过程中出现溃疡性回结肠炎的国内外报道尚未见到。

【Abstract】 The positive fecal occult blood of hepatic cirrhosis patients is firstly considered to be upper gastrointestinal tract hemorrhage.If examination of colonoendoscope was not done,hepatic cirrhosis with inflammatory bowel disease will be missed diagnosis.The previous clinical reports have proved that inflammation bowel disease was induced or aggravated during interferon treatment of hepatitis C patients.However,any report has been not found which ulcerative ileitis and colitis appeared in the patients with hepatitis B cirrhosis after 23 months of entecavir treatment.

  • 【文献出处】 胃肠病学和肝病学杂志 ,Chinese Journal of Gastroenterology and Hepatology , 编辑部邮箱 ,2010年12期
  • 【分类号】R575.2
  • 【被引频次】2
  • 【下载频次】110
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