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perihepatic nodes detected by point-of-care ultrasound in acute hepatitis and acute-on-chronic liver disease

World Journal of Gastroenterology 2015年第44期21卷 12620-12627页

作者： I Che Feng Szu Jen Wang Ming Jen Sheu Lok-Beng Koay Ching Yih Lin Chung Han Ho Chi Shu Sun Hsing Tao Kuo Division of Gastroenterology and Hepatology Department of Internal Medicine Chi Mei Medical Center Yongkang District Division of Gastroenterology and Hepatology Department of Internal Medicine Chi Mei Medical Center Department of Medical Research Chi Mei Medical Center Yongkang District Department of Senior Citizen Service Management Chia Nan University of Pharmacy and Science

AIM: To study the manifestations of perihepatic lymph nodes during the episode of acute hepatitis flare by point-of-care ***: One hundred and seventy-six patients with an episode of acute hepatitis flare(ALT value > 5 × upper normal limit) were enrolled retrospectively. Diagnosis of etiology of the acute hepatitis flare was based on chart records and serological and virological assays. The patients were categorized into two groups(viral origin and non-viral origin) and further defined into ten subgroups according to the etiologies. An ultrasonograpy was performed within 2 h to 72 h(median, 8 h). The maximum size of each noticeable lymph node was measured. Correlation between clinical parameters and nodal manifestations was analyzed RESULTS: Enlarged lymph nodes(width ≥ 5mm)were noticeable in 110(62.5%) patients, mostly in acute on chronic hepatitis B(54.5%). The viral group had a higher prevalence rate(89/110 = 80.9%) and larger nodal size(median, 7 mm) than those of the non-viral group(21/66 = 31.8%; median, 0 mm)(P perihepatic nodal change is valuable for clarifying the etiologies in an episode of acute hepatitis flare.

关键词： Point-of-care ultrasonography perihepatic lymph no

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