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• 药品评价-临床研究 • 上一篇    下一篇

152例药物性肝损伤病例分析

李娜,花慧莲   

  1. 泰州市人民医院,泰州市人民医院
  • 收稿日期:2018-12-04 修回日期:2018-12-24 出版日期:2019-02-25 发布日期:2019-02-25

Retrospective Review of 152 Cases of Drug-induced Liver Injury

LI Na and   

  1. Dept. of Pharmacy,Taizhou People’s Hospital,Jiangsu Taizhou 225300,
  • Received:2018-12-04 Revised:2018-12-24 Online:2019-02-25 Published:2019-02-25

摘要: 目的:分析药物性肝损伤(drug-induced liver injury,DILI)病例情况。方法:回顾性分析临床诊断为DILI的152例患者资料,对其用药情况、性别、年龄分布、临床表现及分型、相关生物化学指标和病理学特点予以分析。结果:DILI患者临床症状多表现为乏力、纳差、黄疸;肝细胞损伤型ALT值与胆汁淤积型ALP值最高;引起DILI较为常见的化学药有肿瘤化疗药、抗结核药、非甾体抗炎药、抗菌药等;引起DILI较为常见的中药有何首乌、三七、雷公藤。结论:药师应加强药物性肝损伤病例的甄别和判断,应对临床医务人员进行该类药物不良反应的鉴别和诊断培训,从而减少或避免DILI的发生。

Abstract: Objective:To investigate the cases of drug-induced liver injury(DILI) in a hospital. Methods: A retrospective analysis of the clinical diagnosed of 152 patients with drug-induced liver injury was performed, including medication status, gender, age distribution, clinical manifestations and classification, related biochemical indicators and pathological characteristics. Results: The patients who diagnosed with drug-induced liver injury with high frequency of clinical symptoms were weak, poor, jaundice. ALT number of hepatocyte DILI and ALP number of cholestatic DILI were the highest (P<0.05). The most common chemical medicine in drug-induced liver injury were antineoplastics, tuberculostatics, NSAIDs, antibiotics, etc. The traditional Chinese medicine that caused drug-induced liver injury were polygonum multiflorum, pseudo-ginseng and Tripterygium wilfordii. Conclusions: Pharmacists should strengthen the screening and judgment of drug-induced liver injury cases, and train clinical medical personnel in the diagnosis and differential diagnosis of such adverse drug reactions, thereby reducing or avoiding the occurrence of drug-induced liver injury.