Knight Joseph A
Division of Education at the Department of Pathology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA.
J Infus Nurs. 2005 Mar-Apr;28(2):108-17. doi: 10.1097/00129804-200503000-00004.
Liver diseases are common, and currently represent the 12th leading cause of death in the United States. However, numerous hepatic disorders exist, and differential diagnosis often is difficult. Moreover, because laboratory testing is routine, an abnormal serum transaminase or alkaline phosphatase in patients without clinical symptoms is not uncommon. Although liver function tests are critical in recognizing the presence of liver disease and its specific diagnosis, the interpretation of the tests may be confusing and difficult. Furthermore, not all persons with one or more test abnormalities actually have liver disease. In this review, liver function tests and an approach to their interpretation are discussed.
肝脏疾病很常见，目前是美国第12大死因。然而，存在众多肝脏疾病，鉴别诊断往往很困难。此外，由于实验室检查是常规项目，无症状患者血清转氨酶或碱性磷酸酶异常并不罕见。尽管肝功能检查对于识别肝脏疾病的存在及其具体诊断至关重要，但对这些检查结果的解读可能令人困惑且困难。此外，并非所有一项或多项检查异常的人都实际患有肝脏疾病。在本综述中，将讨论肝功能检查及其解读方法。
