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[胆汁淤积性肝病的治疗]

[Treatment of cholestatic liver disease].

作者信息

Pleşa Alina

机构信息

Facultatea de Medicină, Cinica a II-a Medicală Gastroenterologie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2003 Oct-Dec;107(4):733-6.

Abstract

Primary biliary cirrhosis (PBC) and primary sclerosing cholangitis (PSC) are chronic cholestatic liver diseases, biochemically characterized by an elevated serum bilirubin, alkaline phosphatase and gamma-glutamyl transferase. Although PBC and PSC have their own distinctive clinical, immunological, radiological and histological features, both diseases show a necro-inflammatory process, predominantly confined to the bile ducts within the portal tracts. In most patients the disease gradually progress and may lead to cirrhosis and liver failure. Transplantation may than be the only therapeutic option left.

摘要

原发性胆汁性肝硬化(PBC)和原发性硬化性胆管炎(PSC)是慢性胆汁淤积性肝病,其生化特征为血清胆红素、碱性磷酸酶和γ-谷氨酰转移酶升高。尽管PBC和PSC有各自独特的临床、免疫、放射学和组织学特征,但两种疾病均呈现坏死性炎症过程,主要局限于门管区内的胆管。大多数患者病情会逐渐进展,可能导致肝硬化和肝衰竭。届时移植可能是唯一剩下的治疗选择。

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