药物性肝损伤临床调查及影响因素分析

被引:40
作者
许雪飞 [1 ,2 ]
王菲 [1 ,2 ]
刘芬 [1 ,2 ]
张心瞳 [2 ]
彭文兴 [1 ]
机构
[1] 中南大学湘雅二医院临床药学研究所
[2] 中南大学药学院
关键词
药物性肝损伤; 临床特点; 影响因素; 回顾性分析;
D O I
10.13699/j.cnki.1001-6821.2014.03.011
中图分类号
R595.3 [药源性疾病];
学科分类号
100201 [内科学];
摘要
目的对药物性肝损伤(DILI)的临床特点进行总结归纳并分析其影响因素。方法对近2年DILI患者的临床资料进行回顾性分析。结果 DILI患者以男性较多(54%),用药以中药、抗结核药及联合用药居多。急性DILI中位发病时间为13 d,因药物种类而异,常见的临床症状有黄疸、乏力、纳差等。年龄、性别对其分型及预后无影响(P>0.05),分型以及起病时肝功能指标对DILI预后有明显影响(P<0.05)。结论 DILI目前尚无特异性临床症状,其预后与分型及起病时肝功能指标呈显著相关性。
引用
收藏
页码:216 / 218
页数:3
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