| 药物性肝损伤的诊断思维 |
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| 引用本文： | 唐岸柳,沈守荣,贺达仁. 药物性肝损伤的诊断思维[J]. 医学与哲学(人文社会医学版), 2009, 0(11): 63-65 |
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| 作者姓名： | 唐岸柳 沈守荣 贺达仁 |
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| 作者单位： | [1]中南大学湘雅三医院消化内科,湖南长沙410013 [2]中南大学哲学系,湖南长沙410013 |
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| 摘 要： | 药物性肝损伤（DILI）是指由于药物或其代谢产物引起的肝脏损害。DILI的诊断尚无金标准，目前国际上比较常用的诊断标准分别从数个不同方面各自进行量化评分，根据得分情况做出诊断。本文归纳DILI的产生机制、诊断标准、临床分型及病理类型，总结推论其临床诊断思维与决策，以供临床医生参考，提高诊断水平。
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| 关 键 词： | 药物性肝损伤，诊断标准，诊断思维 |
Diagnostic Thinking of Drug-Induced Liver Injury |
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| TANG An-liu,SHEN Shou-rong,HE Da-ren. Diagnostic Thinking of Drug-Induced Liver Injury[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2009, 0(11): 63-65 |
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| Authors: | TANG An-liu SHEN Shou-rong HE Da-ren |
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| Affiliation: | .(Department of Gastroenterology, The Third Xiangya Hospital, Central South University, Changsha 410013,China) |
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| Abstract: | Drug-induced liver injury （DILI） indicates any kind of liver injury caused by drugs. There is no gold standard for DILI currently, and the most commonly used diagnostic criteria are respectively scored by several different aspects, and make a diagnosis based on the final scores. This paper summarized the mechanisms, diagnostic criteria,clinical classifications and pathological types of DILI, and deduced its clinical diagnostic thinking and decision-making, which may provide references for clinicians to improve the diagnostic level. |
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| Keywords: | drug-induced liver injury diagnostic criteria diagnostic thinking |
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