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作者对87例流行性出血热(EHF)均进行肝功能、乙肝病毒标志物检测,其中16例行肝穿光镜检查,结果有67例诊为 EHF 合并肝损害;12例合并病毒性肝炎(VH);1例合并药物性肝损害。作者提出:诊断 EHF 所致肝损害宜慎重,VH 血清标志物及肝穿活检有助与 VH鉴别;EHF 肝损害时黄疸、肝脾肿大、SGPT 短期内复常为其特征。
The author of 87 cases of epidemic hemorrhagic fever (EHF) were liver function, hepatitis B virus markers detection, of which 16 cases underwent liver biopsies, the results of 67 cases diagnosed as EHF with liver damage; 12 cases with viral hepatitis VH); 1 case of drug-induced liver damage. The authors suggest that: diagnosis of liver damage caused by EHF should be cautious, VH serum markers and liver biopsy can help identify with VH; EHF liver damage jaundice, hepatosplenomegaly, SGPT short-term abnormalities as its characteristics.