抗精神病药物与肝损伤。

Qinyu Lv, Zhenghui Yi
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引用次数: 13

摘要

2015年10月,中国国际肝病学会药物性肝病组起草并发布了中国首份《药物性肝损伤诊疗指南》,对药物性肝损伤(DILI)的诊断和治疗提出了建议。作为一名精神科医生,我在临床实践中发现,无论是典型的抗精神病药物还是新型的抗精神病药物,都有不同程度的肝损伤。因此,有必要快速准确地确定肝损伤的原因、损伤的类型和严重程度,并建立解决方案。本文综述了抗精神病药物致药物性肝损伤的常见发病机制、临床表现、实验室检查、诊断标准、分类及临床处理策略等相关文献。本文还对抗精神病药物引起的肝损伤进行了综述和展望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antipsychotic Drugs and Liver Injury.

In October 2015, the drug-induced liver diseases group of the Chinese Society of Hepatology drafted and published the first Diagnosis and Treatment Guidelines on Drug-induced Liver Injury in China, giving suggestions on the diagnosis and treatment of drug-induced liver injury (DILI). As a psychiatrist, I have found that in clinical practice both typical and new antipsychotic drugs can induce liver injury to varying degrees. Therefore, it is necessary to quickly and accurately determine the cause of liver injury and the type and severity of injury and establish a solution. This article reviewed relevant literature including the common pathogenesis and clinical manifestations of drug-induced liver injury caused by antipsychotic drugs, laboratory tests, diagnostic criteria and classification, and clinical management strategies. This paper also includes a summary and a perspective on liver injury caused by antipsychotic drugs.

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