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抗结核药物性肝炎的危险因素:来自一家综合医院胸科门诊的前瞻性调查。

Risk factors for anti tuberculous drugs induced hepatitis: a prospective survey from a chest clinic in a general hospital.

作者信息

Fauzi A R M, Shah A, Rathor M Y, Satwi S

机构信息

Department of Internal Medicine, Kulliyah of Medicine, Kuantan, Pahang, Malaysia.

出版信息

Med J Malaysia. 2004 Mar;59(1):72-7.

Abstract

A prospective survey on 14 consecutive cases with tuberculous drug induced hepatitis was done at our chest clinic in a state general hospital over a period of 15 months. There were 30 controls chosen randomly from the chest clinic register. The cases had lower mean body mass index (P<0.008), serum albumin (P<0.005) and higher serum globulin (P<0.04). Serum liver transaminases and total bilirubin rose significantly during the acute episode of drug induced hepatitis. Among the risk factors studied, only chronic hepatitis B carrier status was found to be more prevalent among the cases. There was one death (7.1%) over the whole study period.

摘要

在一家州立综合医院的胸科门诊,我们对连续14例结核药物性肝炎患者进行了为期15个月的前瞻性调查。从胸科门诊登记册中随机选取30例对照。病例组的平均体重指数较低(P<0.008)、血清白蛋白较低(P<0.005),而血清球蛋白较高(P<0.04)。在药物性肝炎急性发作期间,血清肝转氨酶和总胆红素显著升高。在所研究的危险因素中,仅发现慢性乙型肝炎携带者状态在病例组中更为普遍。在整个研究期间有1例死亡(7.1%)。

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