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17例肝功能试验异常的肥胖患者,其平均体重超出标准体重37公斤。女14例,男3例,年龄16～63(平均41)岁。这些患者没有嗜酒、摄入或接触肝脏毒性剂,亦无肝炎史。8例患者无症状,常规实验室试验发现肝功能试验异常;其余患者的症状无特异性,如全身不适或轻度腹痛。10例患者有肝肿大,4例患者有糖尿病。10例患者作肝脏扫描,其中8例显示摄取不规则,符合肝细胞疾病。血清谷草转氨酶为
17 cases of obese patients with abnormal liver function tests, the average weight beyond the standard weight of 37 kg. There were 14 females and 3 males, aged from 16 to 63 (average 41 years). These patients did not have alcohol abuse, ingestion or exposure to liver toxicants, and had no history of hepatitis. Eight patients were asymptomatic, and abnormal liver function tests were found in routine laboratory tests. The remaining patients had no specific symptoms such as generalized or mild abdominal pain. Ten patients had hepatomegaly and four patients had diabetes. Ten patients underwent a liver scan, 8 of which showed irregular uptake and were in line with hepatocellular disease. Serum aspartate aminotransferase is