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用鹅去氧胆酸治疗胆结石患者(作者译)

[Treatment of patients with gallstones with chenodeoxycholic acid (author's transl)].

作者信息

Leuschner U, Reber E, Erb W

出版信息

Dtsch Med Wochenschr. 1977 Feb 4;102(5):156-60. doi: 10.1055/s-0028-1104858.

Abstract

24 patients with cholesterol gallstones were treated with chenodeoxycholic acid. In 7 out of 10 patients the follow-up showed complete dissolution of the gallstones after 7 to 18 months of treatment with 1 g of chenodeoxycholic acid daily. Two patients with biliary duct concrements had to be operated, in a third patient no change could be observed after treatment for 17 months. A transient increase of the transaminase GOT was seen in four patients. There were no changes of serum cholesterol and triglyceride levels. 14 patients had chologenic diarrhoea lasting only a few days. Toxic side effects indisputably due to chenodeoxycholic acid therapy have not been seen so far.

摘要

24例胆固醇性胆结石患者接受了鹅去氧胆酸治疗。10例患者中有7例在每天服用1克鹅去氧胆酸治疗7至18个月后的随访中显示胆结石完全溶解。2例胆管结石患者不得不接受手术,第3例患者在治疗17个月后未观察到变化。4例患者出现转氨酶GOT短暂升高。血清胆固醇和甘油三酯水平无变化。14例患者出现仅持续数天的胆源性腹泻。迄今为止,尚未发现明确由鹅去氧胆酸治疗引起的毒性副作用。

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