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酒精性肝病中的“非酒精性”慢性肝炎

"Nonalcoholic" chronic hepatitis in the alcoholic.

作者信息

Goldberg S J, Mendenhall C L, Connell A M, Chedid A

出版信息

Gastroenterology. 1977 Apr;72(4 Pt 1):598-604.

PMID:838212
Abstract

Ten alcoholic patients with biopsy proved chronic active or chronic persistent hepatitis were observed. In each patient, the responsible etiological agent appeared to be ethanol. Laboratory abnormalities could be distinguished statistically from those in a group of 121 patients with alcoholic hepatitis by their higher SGPT (262 +/- 139 versus 62 +/- 7 U per ml, P is less than 0.01), lower ratio of SGOT:SGPT (1.96 +/- 0.34 versus 4.71 +/- 0.40, P is less than 0.01), and lower white blood cell count 5,833 +/- 763 versus 10,370 +/- 742, P is less than 0.01). However, the overlap between the groups was sufficiently large that without histological confirmation the correct diagnosis was in doubt for any given patient.

摘要

观察了10例经活检证实为慢性活动性或慢性持续性肝炎的酒精性肝病患者。在每例患者中,病因似乎均为乙醇。实验室异常情况在统计学上可与121例酒精性肝炎患者相区分,表现为谷丙转氨酶(SGPT)更高(分别为262±139 U/ml和62±7 U/ml,P<0.01)、谷草转氨酶与谷丙转氨酶比值更低(分别为1.96±0.34和4.71±0.40,P<0.01)以及白细胞计数更低(分别为5833±763和10370±742,P<0.01)。然而,两组之间的重叠足够大,以至于在没有组织学确认的情况下,任何给定患者的正确诊断都值得怀疑。

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