|本期目录/Table of Contents|

[1]潘雪飞,杜 斌,范 群,等.综合分析药物性肝损伤4 076例[J].医学研究与战创伤救治(原医学研究生学报),2009,11(06):505-507.
 PAN Xue-fei,DU Bin,FAN Qun,et al.The statistic analysis of the 4 076 patients with drug induced liver injury[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(06):505-507.
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综合分析药物性肝损伤4 076例()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年06期
页码:
505-507
栏目:
出版日期:
2009-11-20

文章信息/Info

Title:
The statistic analysis of the 4 076 patients with drug induced liver injury
文章编号:
1672-271X(2009)06-0505-03
作者:
潘雪飞1杜 斌2范 群3陈小凤1张长法1
1.解放军第454医院,江苏南京 210002;2.南京中医药大学,江苏南京 210029;3.江苏职工医科大学,江苏南京 210029
Author(s):
PAN Xue-fei1DU Bin2FAN Qun3CHEN Xiao-Feng1ZHANG Chang-fa1
1.The 454th Hospital of PLA, Nanjing 210002,Jiangsu,China;2.Nanjing University of Traditional Chinese Medicine,Nanjing 210029,Jiangsu,China;3.Nanjing Chest Hospital of Jiangsu,Nanjing 210029,Jiangsu,China
关键词:
药物性肝损伤中草药抗结核药抗生素
Keywords:
Drug induced liver injury Chinese herb Antituberculotic drugs Antibiotics
分类号:
R575.1
DOI:
-
文献标志码:
A
摘要:
目的 分析引起药物性肝损伤的原因、临床分型和预后。方法 检索药物性肝损伤的相关文献并进行统计分析。结果 本组资料显示药物性肝损伤以中年人居多,>60岁者占20.4%,病死率约3.1%;引起肝损伤的前三位药物分别为中草药、抗结核药及抗生素,损伤类型以肝细胞损伤型居多,占54.2%;我国南北方未见明显地域差异。结论 必须对患者加强引导,要遵照医嘱用药;对医务人员加强培训,注意鉴别诊断,及时报告,妥善处置。
Abstract:
Objective To analysis the causes, clinical classification and prognosis of drug induced liver injury. Methods To analysis the retrieval documentary data of DILI using statistics method. Results In China, the middle age of the patients who had DILI with no difference in gender. 20.4% of them were older than 60 years. The first three causes of DILI were the use of Chinese herb, antituberculotic drugs, and antibiotics. There was no geographical difference. The most common hepatic injury type was hepatocyte injury, which account for 54.2%, and the fatality rate was about 3.1%. Conclusion It is necessary to educate and guide the patients to take medicine complying with doctor's advice. The medical staffs have to pay more attention to the diagnosis, report without delay, and deal with drug induced liver injury correctly.

参考文献/References:

[1]叶维法.临床肝胆病学[M].天津:天津科学技术出版社,2002:723-724.
[2]Benichou C.Criteria of drug-inducedliver discord .Report of aninter national consensus meeting[J]. J Hepatol,1990,11(2):272-276.
[3] Danan G,Benichou C.Causality assessment ofadverse reactionto drugs-I.A novel method based on the conclusions of international consensus meeting:application to drug-induced liver injuries[J].J Clin Epidemiol,1993,46(11):1323-1330.
[4]张迎修.中国汉族儿童身高发育城乡差别的变化趋势[J].人类学报,1991,18(4):308.
[5]Sgro C,ClinardF,OuazirK,et al.Incidence of drugpatic injuries: a French population-based study[J].Hepatology,2002,36(2):451-455.
[6]Lee WM.A sessing causality in drug induced live injury [J].Hepatol,2000,33(6):100.
[7]谢志萍.药物性肝病378例病因和临床分析[J].传染病信息,2006,19(4):212-214.
[8]中华医学会消化病学分会肝胆疾病协作组. 全国多中心急性药物性肝损伤住院病例调研分析[J].中华消化杂志,2007,27(7):439-442.
[9]李 冶,苏 华,冷 静.国内外药物性肝损害状况分析[J].东南国防医药,2007,9(6):476-479,480.
[10]唐镜波,吴 蓬.近20年国内中药不良反应报道分析[J].华西医学杂志,1999,14(5):377.
[11]刘晓燕,王慧芬,胡瑾华,等. 47例药物性肝衰竭患者临床分析[J].肝脏,2008,13(5):368-371.
[12]梁丽娟.抗生素引起的肝损害及肝病时应用原则[J].中国保健杂志,2006,14(12):125-126.
[13]支杰华,朱 萱.药物性肝病病因、临床特点及关联性评价[J].中国综合临床, 2007,23(7):601-603.
[14]杨志宏,王 波,季 霞,等.浙江北部地区药物性肝病165例分析[J].临床医学,2007,27(4):87-88.
[15]陆玮婷,李 军,欧 宁,等.276例药物肝损伤的病因和临床分析[J].中华肝脏病杂志,2006,14(11):832-834.
[16]周超凡.理性对待中药不良反应[J].中医杂志,2007,48(2):109-110.

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备注/Memo

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更新日期/Last Update: 2013-11-20