Mölleken K, Stahl E, Bretzke G
Z Gesamte Inn Med. 1979 Jan 15;34(2):79-81.
In 155 women of the age group 16-45 years after intake of oral contraceptives in 68.4% (106 cases) histologically provable liver changes were found. Sinusoidal ectasias of different size and drug-conditioned hepatitides most frequently occurred. An isolated intrahepatic cholestase only rarely existed. Increases of transaminase are the most frequent reference to a lesion of the liver parenchyma after intake of oral contraceptives. The author adopts a definite attitude to the differential diagnosis and its difficulties between a drug-conditioned hepatitis and the usual virus hepatitis.
在16至45岁年龄组的155名女性中,服用口服避孕药后,68.4%(106例)出现了组织学上可证实的肝脏变化。最常出现的是不同大小的肝血窦扩张和药物性肝炎。孤立性肝内胆汁淤积仅很少见。转氨酶升高是服用口服避孕药后肝脏实质损伤最常见的指标。作者对药物性肝炎与常见病毒性肝炎的鉴别诊断及其困难持明确态度。