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总结16例老年人肝内胆汁郁积患者的临床资料,并与26例中青年患者进行比较.结果表明,药物和病毒性肝炎是引起老年人肝内胆汁郁积的常见原因,尤以药物所致者显著增多.老年患者中男性占绝大多数.两年龄组胆汁郁积型肝炎患者的临床表现、病程经过和预后等并无明显差别,但由于老年患者常伴随多种疾病,特别是胆囊结石,使病情趋于复杂,极易误诊为胆石引起的肝外阻塞性黄疸.因此,对老年黄疸患者应尽早超声探查肝胆系统.以确立肝内胆汁郁积的诊断.
The clinical data of 16 cases of intrahepatic cholestasis in the elderly were summarized and compared with 26 cases of middle-aged and young patients.The results showed that drugs and viral hepatitis were the common causes of intrahepatic cholestasis in the elderly, especially those caused by drugs Significantly increased.The majority of men in elderly patients.Chicken cholestatic hepatitis in two age group clinical manifestations, course of disease and prognosis, no significant difference, but often accompanied by a variety of elderly patients with diseases, especially gallstones, The condition tends to be complicated, easily misdiagnosed as extrahepatic obstructive jaundice caused by gallstone.Therefore, the elderly patients with jaundice ultrasound as soon as possible to detect the hepatobiliary system to establish the diagnosis of intrahepatic cholestasis.