目的探讨心力衰竭合并缺血性肝炎的临床持点。方法对6例心力衰竭合并缺血性肝炎患者的临床资料进行回顾性分析。结果心力衰竭合并缺血性肝炎患者的肝脏酶学显著升高，尤其以ALT、AST、LDH升高为著，同时常合并肾功能Scr、Bun异常，一旦心衰好转，酶学指标迅速恢复。结论心力衰竭合并缺血性肝炎，具有显著升高的可逆性的肝脏酶学改变，病死率高、应引起临床医师重视，其治疗与预后与原发疾病的治疗密切相关。%Objective To discuss the characteristics of heart failure combined with ischemic hepatitis. Methods To perform a retrospective analysis for clinical data for 6 patients with heart failure combined with ischemic hepatitis. Results The hepatic relative enzyme indicator demonstrated a significant increase in those above patients, especial y in the ALT, AST and LDH. These increases usual y combine with the abnormal changes of renal relative enzymes of Scr and Bun. Al the enzymatic data returned to normal quickly after the ef icient treatment of heart failure. Conclusion The manifestation of heat failure combined with ischemic hepatitis demonstrated reversible hepatic enzyme indicator changes, the higher lethal rate reminded physician a close relevance between the treatment and prognosis and the primary disease.
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