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结核病合并乙肝病毒感染者并非少见,如何选用抗结核药,减少或避免肝毒性作用成为最棘手的问题。临床医生应熟悉和掌握各类抗结核药性能、剂量,给药途径及其对肝脏的毒性作用,以制定出一个有效的、快速的最佳治疗方案,并应定期复查肝功能及血清标志物,给以相应保肝治疗。
Tuberculosis combined with hepatitis B virus infection is not uncommon, how to choose anti-TB drugs, reduce or avoid the role of liver toxicity has become the most intractable problem. Clinicians should be familiar with and master all kinds of antituberculotics performance, dose, route of administration and their toxic effects on the liver in order to develop an effective and rapid best treatment, and should be regularly reviewed liver function and serum markers , Give the corresponding liver treatment.