BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 五月 2017

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 无明显饮酒史
  • 乏力和不适
  • 肝脾肿大

其他诊断因素

  • 右上腹不适
  • 右上腹不适
  • 瘙痒
  • 黄疸

危险因素

  • 肥胖
  • 胰岛素抵抗或糖尿病
  • 血脂异常
  • 高血压

诊断性检查

首要检查

  • 血清天门冬氨酸氨基转移酶和丙氨酸氨基转移酶
  • 总胆红素
  • 碱性磷酸酶
  • γ-谷氨酰转移酶
全部具体信息

需要考虑的检查

  • 空腹胰岛素
  • 稳态模型评估(HOMA)计算
  • 甲胎蛋白
  • 血氨
全部具体信息

新兴检查

  • 弹性成像
  • 细胞角蛋白-18片段
全部具体信息

治疗流程

疾病持续状态

贡献者

Shahid M. Malik MD

Assistant Professor of Medicine

Division of Gastroenterology, Hepatology and Nutrition

Associate Program Director

Transplant Hepatology Fellowship Program

Department of Medicine

University of Pittsburgh Medical Center

Pittsburgh

PA

利益冲突披露
SMM declares that he has no competing interests.
Kapil B. Chopra MD, FACP, FAASLD, AGAF

Professor of Medicine

Medical Director of Comprehensive Liver Program and Liver Pancreas Institute

Program Director of Transplant Hepatology Fellowship Program

University of Pittsburgh School of Medicine

University of Pittsburgh Medical Center

Pittsburgh

PA

利益冲突披露
KBC declares that he has no competing interests.

同行评议专家 查看所有

Senior Lecturer in Hepatology & Honorary Consultant Physician

Liver Research Group

Institute of Biomedical Research

The Medical School

University of Birmingham

Birmingham

UK

利益冲突披露
PN declares that he has no competing interests.

Chief of Hepatology

Department of Medicine

Gastroenterology & Hepatology Service

Brooke Army Medical Center

Fort Sam Houston

Associate Professor of Medicine

University of Texas Health Science Center

Houston

TX

利益冲突披露
SAH is an author of a reference cited in this monograph.

Reader in Liver and GI Pathology

Imperial College at St. Mary's

London

UK

利益冲突披露
RDG declares that he has no competing interests.

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