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《不明原因肝损害的诊断特点和肝组织病理特征115例-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
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2、导隼^滔化奈盎.@世界华人消化杂志2014年4月2813;2(12):1730—1733wcjd@wjgnet.cornISSN1009—3079(print)ISSN2219—2859(online)÷善一踊嘴睡cE—j舞嚣搿蓦蠢蕊善不明原因肝损害的诊断特点和肝组织病理特征115例陈学平,罗志刚,曹丽玲,杨姝,张琳英,尤丽英,杨晋辉,唐映梅Thebiochemicalandimmunologicalfeatures,aswellasvirusmarkers,abdominalimagingfindingsandhepatich
3、istopathologywereanalyzed.RESULTS:Adefinitediagnosiswasachievedbyliverbiopsyin109patients.Amongthem,38werediagnosedwithprimarybiliarycirrhosis(PBC),andthemainpathologicalfeaturewas一曼non—suppurativeinflammationinthebileduct;31withautoimmunehepatitis(AIH),whichshowedobvi
4、ousinterfaceinflammationinlivertissue;27withnonalcoholicfatt、,liverdisease(NAFLD),whichshowedvisiblehepaticsteato—sisandballooningdegeneration;4withoccultDiagnosticcharacteristicsandhepatitisB,whichpresentedwithportalinflam—hepatichiStopathoIogyin115mationandinfiltrati
5、onoflymphocytesandwerepositiveforHBcAgand/orHBsAgasrevealedpatientswithliverinjuryofbyimmunohistochemistry;2withhepaticamy-tinknownreasons1oidosis,whichshowedalotofeosinamyloiddepositsreactivewithCongoredinlivercellsXue—PingChenZhi-GangLuoLi-LingCaolShuYang
6、Lin-YingZha
7、ngILi-YingYou
8、Jin-HuiYang
9、andbloodsinus;2withhemochromatosis,Ying-MeiTangwhichshowedobviousironpigmentdepositioninlivercells;2withglycogenstoragedisease,Xue。PingChen,Zhi‘GangLuo,Li-LingCao,ShuYang,whichshowedextensivehyalinedegenerationinLin-YingZhang,DepartmentofGastr
10、oenterology,theFirsthepaticcellsandwaspositiveforDpas;1withPeople’sHospitalofKunming.Kunming650011.YunnanschistosomiasiswithschistosomeeggsdetectedProvince,ChinaLi-yingYou,DepartmentofGeriatrics,theFirstPeople’smicroscopically;1withtoxoplasmosis,andelec—HospitalofKunmi
11、ng,Kunming650011,YunnanProvince,tronmicroscopyrevealedToxoplasmagondiiChinarhoptry;1withDubin-Johnsonsyndrome,which3in-Hui’Ylang,Ying-Mei‘ranq,DepartmentofHepatopan.creatobiliary,theSecondAffiliatedHospitalofKunmingshowedthick,darkbrownpigmentparticlesinMedicalUniversi
12、ty,Kunming650101.YunnanProvince.livercells.Therewerestill6casesinwhomaChinadefinitediagnosiscouldnotbeachievedafterSu
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