摘要
生首乌、制首乌化学成分复杂,引起患者肝损害机制不详,导致重型肝炎不多见;本例患者服用常用剂量制首乌50余天后导致重型肝炎,病程中发生血糖升高达糖尿病诊断标准而没有任何症状;由于患者肝损害病情进展快,及时有效的综合治疗,特别是人工肝的早期使用是抢救成功的主要原因;重型肝炎发生血糖持续升高少见,使用超短效胰岛素类似物是控制血糖的首选,不宜选用口服降血糖药物;适当控制血糖水平是重型肝炎治疗的重要方面.
In recent years, drug-induced liver injury has become a common disease of the liver, only after viral hepatitis and fatty liver disease（alcoholic and non-alcoholic）. The wide use of Chinese herbal medicine or preparation has caused an increase in the incidence of toxic side effects and adverse reactions, with the liver being easily damaged. Occasionally, severe hepatitis may occur. Here we report a case of severe hepatitis with disorder of glucose metabolism caused by taking Polygonum multiflorum.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第28期4372-4375,共4页
World Chinese Journal of Digestology
关键词
何首乌
重型肝炎
高血糖
Polygonum multiflorum
Severe hepatitis
Hyperglycemia
