Scully L
Can Fam Physician. 1988 Mar;34:639-42.
A wide spectrum of liver disease is seen in general practice. For the most part, asymptomatic increases in transaminase may be followed for several months, but the treatable conditions described should be ruled out early on. It is essential do diagnose as promptly as possible Wilson's disease, hemochromatosis, autoimmune heaptitis, and hepatitis B. Drugs are a frequent cause of wild transaminitis. Heavy alcohol consumption as a cause of liver disease must always be suspected, but may be difficult to prove.
在普通医疗实践中可见多种肝脏疾病。在大多数情况下,转氨酶无症状升高可随访数月,但应尽早排除所述的可治疗疾病。尽早诊断威尔逊病、血色素沉着症、自身免疫性肝炎和乙型肝炎至关重要。药物是广泛转氨酶升高的常见原因。必须始终怀疑大量饮酒是肝病的病因,但可能难以证实。