医药与保健
醫藥與保健
의약여보건
Medicine and Health Care
2015年
10期
9-9,15
,共2页
肝功能异常%治疗%感染
肝功能異常%治療%感染
간공능이상%치료%감염
liver function abnormality%cure%infection
目的：对小儿肝功能异常的发生病因、临床表现及不同程度肝功能异常的治疗效果进行探讨。方法对120例肝功能异常的患儿的临床资料进行回顾性分析。结果导致小儿肝功能异常原因较多，病毒感染是最主要的发病原因，有42例，细菌感染28例，支原体感染16例，川崎病8例，药(毒)物损害8例，药(毒)物损害有毒鼠强、毒蘑菇、中草药、头孢曲松钠、丙戊酸钠等；遗传代谢性疾病8例，其他原因有10例。患儿临床表现不十分明显，少有呕吐、腹泻、恶心、厌食、腹水、黄疸等出现；轻度肝功能异常患儿23例痊愈，16例好转，1例无效；中度患儿里38例痊愈，28例好转，2例无效；重度患儿6例痊愈，5例好转，1例无效。治疗以痊愈和好转患儿最多。结论婴幼儿肝功能异常的主要病因有感染、药(毒)物损害、遗传代谢病等，应重视肝功，及早进行检查治疗可以减少对患儿的危害，恢复更好。
目的：對小兒肝功能異常的髮生病因、臨床錶現及不同程度肝功能異常的治療效果進行探討。方法對120例肝功能異常的患兒的臨床資料進行迴顧性分析。結果導緻小兒肝功能異常原因較多，病毒感染是最主要的髮病原因，有42例，細菌感染28例，支原體感染16例，川崎病8例，藥(毒)物損害8例，藥(毒)物損害有毒鼠彊、毒蘑菇、中草藥、頭孢麯鬆鈉、丙戊痠鈉等；遺傳代謝性疾病8例，其他原因有10例。患兒臨床錶現不十分明顯，少有嘔吐、腹瀉、噁心、厭食、腹水、黃疸等齣現；輕度肝功能異常患兒23例痊愈，16例好轉，1例無效；中度患兒裏38例痊愈，28例好轉，2例無效；重度患兒6例痊愈，5例好轉，1例無效。治療以痊愈和好轉患兒最多。結論嬰幼兒肝功能異常的主要病因有感染、藥(毒)物損害、遺傳代謝病等，應重視肝功，及早進行檢查治療可以減少對患兒的危害，恢複更好。
목적：대소인간공능이상적발생병인、림상표현급불동정도간공능이상적치료효과진행탐토。방법대120례간공능이상적환인적림상자료진행회고성분석。결과도치소인간공능이상원인교다，병독감염시최주요적발병원인，유42례，세균감염28례，지원체감염16례，천기병8례，약(독)물손해8례，약(독)물손해유독서강、독마고、중초약、두포곡송납、병무산납등；유전대사성질병8례，기타원인유10례。환인림상표현불십분명현，소유구토、복사、악심、염식、복수、황달등출현；경도간공능이상환인23례전유，16례호전，1례무효；중도환인리38례전유，28례호전，2례무효；중도환인6례전유，5례호전，1례무효。치료이전유화호전환인최다。결론영유인간공능이상적주요병인유감염、약(독)물손해、유전대사병등，응중시간공，급조진행검사치료가이감소대환인적위해，회복경호。
Objective To investigate the etiology,clinical manifestations in children with liver function abnormality and the curative effect of different abnormalities. Methods Clinical data of 120 children with liver function abnormality were reviewed retrospectively. Result Many pathogenic reasons can cause children abnormal liver function, including bacterial infection (42 cases), mycoplasma infection (16 cases), Kawasaki disease(8 cases), medicine (poison) damage(8 cases). medicine (poison) including tetramine, poisonous mushroom, chinese herbal, ceftriaxone, and valproic acid, et al are among the causes. The curative results for mild abnormal liver function were cured(23cases), improved(16cases)and no effect(1case). The curative results for moderate abnormal liver function were cured(38cases), improved(28cases) and no effect(2cases). The curative results for severe abnormal liver function were cured(6cases), improved(5cases)and no effect(1case). Cured and improved curative results were common. Conclusions The major pathogenic causes are caused by infection, druge(poison) damage and congenital metabolic diseases, et al. Clinical manifestations including vomiting, diarrhea, less nausea, anorexia, ascites and jaundice were not appeared among the children. We should pay attention to routine liver function tests,discover and cure the liver function abnormality as early as possible.
