心源性黄疸的临床鉴别

Clinical distinguish of cardiogenic jaundice

关键词:  心源性黄疸  缺血肝  肝酶检测

Key words:  cardiogenic jaundice  ischemic hepatic disease  hepatic enzymes

摘要:

［目的］阐明严重心脏病引起不同类别肝损伤的差异和测定方法，以利于对缺血性肝病的早期诊治。［方法］选择20例心力衰竭致肝淤血性损伤和4例缺血肝病例进行 临床和实验室观测与对比研究。［结果］ 淤血肝损伤多较轻，随心衰控制而好转；而缺血性肝病可致严重肝损伤，“三项酶”包括血谷丙转氨酶、乳酸脱氢酶、谷氨酸脱氢酶， Ⅱ组的检测结果均明显高于Ⅰ组（P＜0.05）,尤为谷氨酸脱氢酶的检测具有更重要的鉴别意义。［结论］心源性黄疸的鉴别中，除临床表现二者不同特点外，“三项酶”的同时监测，可助缺血肝的早期诊断和有效治疗。

Abstract:

［Objective］To get early diagnosis of ischemic hepatic disease by clarifing different kinds of liver damage which account for serious heart disease.［Methods］The clinical symptoms and laboratory data of 20 patients diagnosed as liver stasis damage caused by heart failure and 4 patients diagnosed as ischemic hepatic disease were compared and analyzed. ［Results］The liver damage caused by stasis was light,and it could be ameliorated by curing heart failure.Liver damage caused by ischemic hepatic disease was serious as well as the data of "three enzymes"GPT LDH GDH ,TypeⅡhighly increased(P＜0.05).We made make early diagnosis and effective treatment by this.［Conclusion］To distinguish different kinds of cardiogenic jaundice,but for different feature of clinical symptoms.it is helpful to make early diagnosis and effective treatment for ischemic hepatic disease by observing “three enzymes”.