CAJ | 학술논문

目的探讨心力衰竭合并缺血性肝炎的临床持点。方法对6例心力衰竭合并缺血性肝炎患者的临床资料进行回顾性分析。结果心力衰竭合并缺血性肝炎患者的肝脏酶学显著升高，尤其以ALT、AST、LDH升高为著，同时常合并肾功能Scr、Bun异常，一旦心衰好转，酶学指标迅速恢复。结论心力衰竭合并缺血性肝炎，具有显著升高的可逆性的肝脏酶学改变，病死率高、应引起临床医师重视，其治疗与预后与原发疾病的治疗密切相关。
목적탐토심력쇠갈합병결혈성간염적림상지점。방법대6례심력쇠갈합병결혈성간염환자적림상자료진행회고성분석。결과심력쇠갈합병결혈성간염환자적간장매학현저승고，우기이ALT、AST、LDH승고위저，동시상합병신공능Scr、Bun이상，일단심쇠호전，매학지표신속회복。결론심력쇠갈합병결혈성간염，구유현저승고적가역성적간장매학개변，병사솔고、응인기림상의사중시，기치료여예후여원발질병적치료밀절상관。
Objective To discuss the characteristics of heart failure combined with ischemic hepatitis. Methods To perform a retrospective analysis for clinical data for 6 patients with heart failure combined with ischemic hepatitis. Results The hepatic relative enzyme indicator demonstrated a significant increase in those above patients, especial y in the ALT, AST and LDH. These increases usual y combine with the abnormal changes of renal relative enzymes of Scr and Bun. Al the enzymatic data returned to normal quickly after the ef icient treatment of heart failure. Conclusion The manifestation of heat failure combined with ischemic hepatitis demonstrated reversible hepatic enzyme indicator changes, the higher lethal rate reminded physician a close relevance between the treatment and prognosis and the primary disease.