摘要
本文对505例慢性胆囊炎的肝脏损害进行了观察,结果显示肝肿大15.45％,胆汁性肝硬化5.15％,血清胆红素异常36.07％,白蛋白降低42.35％、ALT升高42.36％,ALT升高呈—过性,可反复出现,且有发生急消失快的特点。38例进行肝活检,其中肝细胞浊肿变性92.1％、肝小叶及门管区慢性炎性细胞浸润89.5％、肝结节增生13.2％、肝细胞坏死 5.3％、胆汁淤积、脂肪变和肝窦扩张2.6％,本文资料表明慢性胆囊炎,尤其是反复急性发作者,常有不同程度的肝脏受累。
Hepatic damage in 505 cases of chronic cholecystitis was observed and the results showed that certain patients had hepatomegaly (15.45%), biliary cirrhosis (5.15%) , serum bilirubin elevations(36.07%), serum albumin decreases (42.35%), and transient serum ALT elevations(42.36%). Pathological changes in 38 liver tissue biopsies were characterized by turbid degenerations of hepatocytes(92.1%), infiltrations of inflammatory cells in liver lobule and portal biliary areas (89.5%), liver tubercular hyperplasia (13.2%),and hepatocytic necrosis (5.3%).Biliary stagnation, hepatic lipoidosis and dilation of liver sinuses were 2.6% respectively. The present investigation suggests that the liver may be involved in chronic cholecystitis, especially during the onset stage of the disease.
出处
《蚌埠医学院学报》
CAS
1993年第1期40-42,共3页
Journal of Bengbu Medical College
关键词
胆囊炎
肝
肝脏损害
肝功能
chronic cholecystitis
liver
hepatic damage
liver function
