小结
鉴别诊断
常见
- 丙型肝炎病毒感染
- 乙型肝炎病毒感染
- 甲型肝炎病毒感染
- 酒精相关的肝脏疾病
- 对乙酰氨基酚过量
- 非对乙酰氨基酚或膳食补充剂
- 非酒精性脂肪性肝病
- Gilbert 综合征
- 血色病
- 胆总管结石病
不常见
- 戊型肝炎
- 丁型肝炎
- EB 病毒感染
- 单纯疱疹病毒感染
- 巨细胞病毒感染
- HIV 感染
- 脓毒症
- 肺外结核病
- 毒性物质
- α-1 抗胰蛋白酶缺乏
- Wilson 病（肝豆状核变性）
- 自身免疫性肝炎
- 原发性胆汁性胆管炎
- 原发性硬化性胆管炎
- 肝细胞癌
- 肝转移
- 胰腺癌
- 胆管癌
- 霍奇金淋巴瘤
- 非霍奇金淋巴瘤
- 休克
- 门静脉血栓形成
- 布加综合征
- 妊娠期肝内胆汁淤积症
- 溶血、肝酶升高、低血小板计数（HELLP）综合征
- 急性妊娠期脂肪肝
撰稿人
作者
Stevan A. Gonzalez, MD, MS
Associate Professor
Department of Internal Medicine
TCU and UNTHSC School of Medicine
Medical Director of Liver Transplantation
Annette C. and Harold C. Simmons Transplant Institute
Baylor Scott & White All Saints Medical Center
Fort Worth
TX
利益声明
SAG declares that he has no competing interests.
鸣谢
Dr Stevan A. Gonzalez would like to gratefully acknowledge Dr Jeremy Cobbold, Dr William D. Carey, and Dr Achuthan Sourianarayanane, the previous contributors to this topic.
利益声明
WDC is an author of a number of references cited in this topic. JC and AS declare that they have no competing interests.
同行评议者
Joseph K. Lim, MD
Assistant Professor of Medicine
Director
Yale Viral Hepatitis Program
Section of Digestive Diseases
Yale School of Medicine
New Haven
CT
利益声明
JKL declares that he has no competing interests.
Philip Newsome, PhD, FRCPE
Senior Lecturer in Hepatology & Honorary Consultant Physician
Liver Research Group
Institute of Biomedical Research
The Medical School
University of Birmingham
Birmingham
UK
利益声明
PN declares that he has no competing interests.
Marlyn Mayo, MD
Associate Professor of Medicine
Division of Digestive and Liver Diseases
University of Texas Southwestern Medical Center
Dallas
TX
利益声明
MM is an author of a reference cited in this topic.
指南
- AASLD 有关药物、草药和膳食补充剂所致肝损伤的实践指导
- EASL 关于采用无创检查评估肝病严重程度和预后的临床实践指南——2021 年更新版
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