首页|胆汁淤积发生机制的研究进展

胆汁淤积发生机制的研究进展

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胆汁淤积是一种临床常见的症候群,根据发病部位不同可分为肝外胆汁淤积(EHC)及肝内胆汁淤积(IHC)。EHC主要由炎性水肿、结石、肿瘤及蛔虫等因素所致的胆道梗阻引起,而IHC的发生机制较为复杂,具体的发病机制尚不清楚,IHC包括原发性胆汁性胆管炎(PBC)、原发性硬化性胆管炎(PSC)、妊娠期肝内胆汁淤积症(ICP)、IgG4相关硬化性胆管炎、进行性家族性肝内胆汁淤积症在内的原发性IHC,以及由酒精性肝病、慢性病毒性肝炎、药物性肝损伤等引起的继发性IHC。本文主要总结胆汁淤积的发病机制研究新进展,旨在为该病的科研及临床工作者提供参考。
Research progress on occurrence mechanism of cholestasis
Cholestasis is a common clinical syndrome and can be divided into extrahepatic cholestasis(EHC)and intrahepatic cholestasis(IHC)depending on the site of disease.EHC is mainly caused by biliary obstruction due to inflammatory edema,stones,tumors and roundworms,while the IHC occurrence is more complex and the specific pathogenesis is unclear,including primary cholestatic cholangitis,primary sclerosing cholangitis,intrahepatic cholestasis of pregnancy(ICP),IgG4-related sclerosing cholangitis,progressive familial intra-hepatic cholestasis and secondary intrahepatic cholestasis caused by alcoholic liver disease,chronic viral hepatitis,drug-related liver injury,etc.This article mainly summarizes the new developments in the pathogenesis studies of cholestasis and aims to provide a reference for scientific research and clinical workers in this disease.

cholestasisintrahepatic cholestasischolestatic liver diseasereview

谌洁、章述军

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重庆医科大学附属第一医院感染科,重庆 400016

胆汁淤积 肝内胆汁淤积 胆汁淤积性肝病 综述

重庆市科卫联合医学科研项目

2020FYYX007

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(7)
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