充血性心力衰竭(下称心衰)不仅可引起肝充血,而且可引起肝脏结构和功能的改变。临床上常由于病人出现黄疸,意识障碍,转氨酶升高等严重肝功能损害而误诊为病毒性肝炎或暴发性肝炎。为引起临床医生对这个问题的重视,现将我们近些年来遇到的12例,结合死亡5例中3例的尸检所见,对心衰与肝坏 Congestive heart failure (hereinafter referred to as heart failure) can not only cause liver congestion, but also cause changes in liver structure and function. Clinical often due to patients with jaundice, disturbance of consciousness, elevated transaminases and other serious liver damage and misdiagnosed as viral hepatitis or fulminant hepatitis. In order to arouse clinicians’ attention to this issue, now we see 12 cases we encountered in recent years, combined with the autopsy findings of 3 cases in 5 cases of death,