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[药物性胆管损伤:进展与挑战]

[Drug-induced bile duct injury: progress and challenges].

作者信息

Li D L

机构信息

Department of Hepatobiliary Disease, 900th Hospital of Joint Logistics Support Force (Fuzhou General Clinical Medical College of Fujian Medical University), Fuzhou 350025, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2023 Apr 20;31(4):339-344. doi: 10.3760/cma.j.cn501113-20230407-00145.

Abstract

Drug-induced bile duct injury is a specific kind of drug-induced liver injury that has two main pathological types, namely ductopenia, or vanishing bile duct syndrome, and secondary sclerosing cholangitis. However, in recent years, the reports of new drugs that cause bile duct injury have been constantly increasing, and these drugs have different clinicopathological features and a novel pathogenesis. Therefore, this paper summarizes and analyzes the progress and challenges in the etiology, pathogenesis, diagnosis and treatment, and other aspects of drug-induced bile duct injury.

摘要

药物性胆管损伤是一种特殊类型的药物性肝损伤,主要有两种病理类型,即胆管减少症或消失性胆管综合征,以及继发性硬化性胆管炎。然而,近年来,导致胆管损伤的新药报道不断增加,这些药物具有不同的临床病理特征和新的发病机制。因此,本文总结并分析了药物性胆管损伤在病因、发病机制、诊断和治疗等方面的进展与挑战。

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