甲基酸盐引起的药物诱导性肝炎:一个案例报告
Diana Valbom Gonçalves1, Mariana Bravo2, Sónia Almeida1
1Department of Pediatrics. Unidade Local de Saúde Aveiro. Aveiro. Portugal.
Acta medica portuguesa
|December 17, 2025
概括
甲基化物 (MPH) 可能会在患有注意力缺陷多动症 (ADHD) 的儿童中引起罕见的肝损伤. 定期监测对于早期发现药物诱导的肝炎和预防严重并发症至关重要.
科学领域:
- 儿科药理学 儿科药理学
- 肝病学 肝病学是一种肝病学.
- 神经精神病学是一种神经精神病学.
背景情况:
- 甲基酸 (MPH) 是治疗注意力缺陷多动障碍 (ADHD) 的一线精神兴奋剂.
- 虽然通常是安全的,但与MPH治疗相关的罕见肝毒性病例已报告.
- 多发性肝炎的不良影响通常是短暂的,但肝损伤可能是一个严重的问题.
研究的目的:
- 在接受MPH治疗的儿科患者中报告药物诱导的肝炎病例.
- 强调长期MPH治疗期间监测肝功能的重要性.
- 强调早期检测和干预的必要性,以防止严重的肝脏并发症.
主要方法:
- 一名患有ADHD的12岁女性长期接受MPH治疗的案例介绍.
- 生物化学评估包括肝酶 (转氨酶,胺转移酶).
- 肝活检以确认药物诱导的肝炎在排除其他原因后.
主要成果:
- 患者在MPH治疗3.5年后表现出明显的肝酶升高.
- 肝脏活检证实了药物诱导的肝炎.
- 停止MPH导致肝酶水平正常化.
结论:
- 长期的MPH治疗需要定期的实验室监测儿科患者的肝功能.
- 早期识别肝酶升高对于迅速停止MPH治疗至关重要.
- 及时干预可以逆转肝损伤,并防止肝功能衰竭的进展.
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