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目的探讨183例病毒性肝炎监测AST、ALT的临床意义。方法设肝炎组(急性肝炎、慢性肝炎、肝硬化)和正常健康组检测AST、ALT。结果急性肝炎时AST/ALT比值有升高倾向,慢性肝炎时比值可升高到1.0以上,肝硬化时可达2.0。结论临床上测定AST、ALT并计算其比值,对诊断急、慢性肝炎和肝硬化有很大帮助,同时动态观察对评估疗效及判断预后,有重要的临床价值。
Objective To investigate the clinical significance of 183 cases of viral hepatitis in the monitoring of AST and ALT. Methods Hepatitis group (acute hepatitis, chronic hepatitis, cirrhosis) and normal healthy group were tested for AST and ALT. Results In acute hepatitis, the ratio of AST / ALT tended to increase. The ratio of chronic hepatitis increased to over 1.0 and reached 2.0 during cirrhosis. Conclusions It is of great help to diagnose acute and chronic hepatitis and cirrhosis that the AST and ALT are calculated clinically and their ratios are calculated. At the same time, dynamic observation has important clinical value in evaluating the curative effect and prognosis.