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[慢性活动性肝炎:临床、生化及组织病理学相关性]

[Chronic active hepatitis: clinical, biochemical, and histopathologic correlation].

作者信息

Subauste M C

出版信息

Rev Gastroenterol Peru. 1989;9(1):29-40.

PMID:2491700
Abstract

A retrospective study over 26 female patients with chronic active hepatitis was made. The mean age was 39 years old, the mean length of illness of 8 months; 5 patients had positive markers for hepatitis B. Patients were selected with the grade of histological activity: 8 patients had a mild form from disease (2A) and 16 with a severe one (2B). The predominant group was 2B. Severe inflammatory infiltration was the hallmark and multiobulillar necrosis, bridging, eosinophils and hiperplasia of kuppfer cells were found only in this group. Clinical features range from hepatic manifestations to systemic ones. Chronic active hepatitis may present with cholestasis, but the latter is not always related with the grade of activity. Group 2B had elevated aminotransferases and a low concentration for protrobine.

摘要

对26例慢性活动性肝炎女性患者进行了回顾性研究。平均年龄为39岁,平均病程8个月;5例患者乙肝标志物呈阳性。根据组织学活动程度选择患者:8例为疾病轻度形式(2A),16例为重度形式(2B)。主要组为2B组。严重炎症浸润是其特征,多小叶坏死、桥接、嗜酸性粒细胞和库普弗细胞增生仅在该组中发现。临床特征从肝脏表现到全身表现不等。慢性活动性肝炎可能伴有胆汁淤积,但后者并不总是与活动程度相关。2B组转氨酶升高,凝血酶原浓度低。

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