胆汁淤积型肝病与糖尿病得关系 1胆汁淤积型肝病就是指各种原因引起得胆汁形成、分泌与(或)胆汁排泄异常引起得肝脏病变,肝脏得生理功能有解毒、代谢、分泌胆汁、造血、储血与调节循环血量、免疫防备等功能,胆汁淤积造成肝脏功能受损时可使上述功能减退甚至丧失,并导致糖代谢功能紊乱;目前糖尿病发病机制考虑为遗传与环境因素、胰岛素抵抗与 β 细胞功能缺陷、葡萄糖毒性及脂毒性等,胆汁淤积型肝病对肝脏得损害引起糖代谢紊乱最终导致糖尿病。关键词 胆汁淤积型肝病 糖代谢紊乱 糖尿病及其发病机制 Accumulated type liver bile Is Various cause arouse bile the formation and secrete and ( or ) bile drainage exception of the liver disease,The physical capabilities contain Eliminating toxins、Metabolic、Bile from Liver、Hematopoietic、Storing blood and The circulation of blood quantity、Immune against and so on、 Bile deposition causing Liver function damage can decrease the Liver functions,and make it loss、 And lead to glucose metabolism disturbance;At present,Diabetes of the development of a diseased is considered Genetic and Environment factors、insulin resistance and the function defects of βcells、Glucotoxicity and Lipotoxicity and so on、 Accumulated type liver bile for Liver defects cause glucose metabolism disturbance and finally bring about Diabetes、 Key words Accumulated type liver bile glucose metabolism disturbance Diabetes and the development of a diseased 胆汁淤积型肝炎得病理生理特点 胆汁淤积型肝病就是指各种原因引起得胆汁形成、分泌与(或)胆汁排泄异常引起得肝脏病变,依据病因可分为肝细胞性淤积性、胆管性胆汁淤积、混合性胆汁淤积;2其病理特点在光学显微镜下可见:肝细胞内见有胆汁积聚,该处得色素负荷大,特别就是在小叶中央区、枯否氏细胞与毛细胆管。组织学上,色素主要就是结合胆红素。肝细胞,特别就是小叶中央区得肝细胞,呈“羽毛状”变性,周围有单核细胞得局灶性积聚;在持续得胆汁淤积后,形成胆汁性肝硬化,门管区得纤维组织束进一步增宽,互相汇合,小叶则相应得缩小,来自门管区得纤维隔分隔肝小叶,并连接门...
