摘要
Hepatic infarction rarely occurs due to the double supply of arterial and portal inflow. A 53-year-old man with diabetes mellitus developed multiple hepatic infarctions after an episode of fever and diarrhea. The infarction was documented by pathology after partial liver resection. Several causes of hepatic infarction may present in this patient: dehydration and hypotension caused by fever and diarrhea, type 2 diabetes and administration of glibenclamide, diabetic ketoacidosis and widespread atherosderosis. We suggest that diabetic patient with elevated liver enzyme should be considered the possibility of hepatic infarction.
肝的梗塞很少由于双供应发生动脉并且门流入。有糖尿病的一个 53 岁的人在发烧和腹泻的一个事件以后开发了多重肝的梗塞。梗塞被病理在部分肝切除术以后记录。肝的梗塞的几个原因可以在这个病人介绍:glibenclamide,糖尿病的 ketoacidosis 和普遍动脉粥样硬化的发烧和腹泻,类型 2 糖尿病和管理引起的脱水和低血压。我们建议有提高的肝酶的那个糖尿病的病人应该被认为肝的梗塞的可能性。