肝酶异常患者的处理方法。

H F Herlong
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引用次数: 24

摘要

血清酶值升高通常是无症状患者肝损伤的最早指标。谷丙转氨酶和谷丙转氨酶异常提示肝细胞异常;碱性磷酸酶异常提示胆道疾病。选定的病例说明如何三酶水平,结合历史和体格检查,可以指导其余的工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Approach to the patient with abnormal liver enzymes.

Elevated serum enzyme values are often the earliest indicators of liver injury in asymptomatic patients. Abnormal AST and ALT point to a hepatocyte disorder; abnormal alkaline phosphatase suggests a biliary tract disorder. Selected case histories illustrate how the three enzyme levels, in conjunction with the history and physical examination, can guide the rest of the workup.

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