Deng Yong-Gui, Zhao Zhan-Sheng, Wang Mian, Su Sheng-Ou, Yao Xi-Xian
Department of Endocrinology, The Second Hospital of Hebei Medical University, 215 Hepingxilu, Shijiazhuang 050000, Hebei Province, China.
World J Gastroenterol. 2006 Aug 21;12(31):5091-3. doi: 10.3748/wjg.v12.i31.5091.
Hepatic infarction rarely occurs due to the double supply of arterial and portal inflow. A 53-year-old man with diabetes mellitus developed multiple hepatic infarctions after an episode of fever and diarrhea. The infarction was documented by pathology after partial liver resection. Several causes of hepatic infarction may present in this patient: dehydration and hypotension caused by fever and diarrhea, type 2 diabetes and administration of glibenclamide, diabetic ketoacidosis and widespread atherosclerosis. We suggest that diabetic patient with elevated liver enzyme should be considered the possibility of hepatic infarction.
由于肝脏有动脉和门静脉的双重血液供应，肝梗死很少发生。一名53岁的糖尿病男性在一次发热和腹泻发作后出现了多发性肝梗死。部分肝切除术后经病理证实为梗死。该患者可能存在几种肝梗死的病因：发热和腹泻引起的脱水和低血压、2型糖尿病及格列本脲的使用、糖尿病酮症酸中毒和广泛的动脉粥样硬化。我们建议，对于肝酶升高的糖尿病患者，应考虑肝梗死的可能性。
