住院患者肝功异常病因分析

Analysis of Causes for Hepatic Dysfunction in Hospitalized Patients

目的探讨住院患者肝功异常病因及影像学诊断意义。方法对2008年1月-12月住院的223例18～83岁肝功异常患者进行相关实验室检查,以及B超、CT和MRI检查。结果肝脏本身疾病引起135例,占60.54%,肝外疾病引起83例,占37.22%,原因不明5例,占2.24%。B超作为无创性检查,价格低亷,准确率高,可作为常规检查。结论住院患者肝功损害病因复杂,以药物性肝炎、胆道系统疾病及脂肪肝较多见。

Objective To explore the causes of hepatic dysfunction and diagnosis value of iconography examinations. Methods From January to December 2008, 223 inpatients with hepatic dysfunction, ranged from 18 to 83 years old, received lab and iconography examinations, including B-ultrasonic wave, CT and MRI. Results One hundred and thirty-five inpatients （60. 54%） with hepatic dysfunction suffered from hepatic diseases, 83 （37.22%） suffered from extra-hepatic diseases, 5 （2. 24%） had no clear reasons. The percentages were 60.54%, 37. 22% and 2.24% respectively. B-ultrasonic wave examination could be used regularly because it was a harmless, cheap and accurate means. Conclusion Many diseases could result in hepatic dysfunction. Among them, medicamentous hepatitis, bile duct sys tern disease and fatty liver are the common ones.