目的研究自身免疫性肝炎的 CT表现与护理干预措施，为今后临床实 践提供参考和借鉴。方法 选取2009年1 月-2014年1月期间我院收治的40例自身免 疫性肝炎患者为研究对象，根据其临床资 料进行回顾性分析和研究，探讨自身免疫 性肝炎的CT表现与护理干预措施。结果 肝脏体积增大的患者有12例，肝脏萎缩的 患者有8例，肝实质结节样改变的患者有 19例，肝实质强化不均匀者有11例；40例 患者中有23例患者出现淋巴结肿大，腹膜 后淋巴结肿大的患者有12，9例患者其腹 膜腔和腹膜后淋巴结同时肿大；护理后患 者的临床症状改善情况明显优于护理前， p＜0.05，差异具有统计学意义。结论 CT 诊断自身免疫性肝炎具有重要的临床价 值，其影像具有一定的特征性，能够为临 床治疗提供重要的诊断依据；有效的护理 干预能够显著改善患者的临床症状，提高 治疗效果，值得在临床实践中广泛的应用 和推广。

Objective This paper is to discuss the value of CT in diagnosis of autoimmune hepatitis and nursing intervention measures and to provide the reference for clinical practices in the future. Methods Forty patients with autoimmune hepatitis admitted by this hospital during the period from January, 2009 to January, 2014 were selected as research subjects, who were retrospectively analyzed and studied according to the clinical data, and CT manifestation o and nursing intervention of autoimmune hepatitis were explored. Results Twelve patients are found to have liver volume increased, 8 patients suffered from liver atrophy, 19 patients were confirmed to have nodular change in liver parenchyma, 11 patients were found to have uneven liver parenchyma strengthening. 23 out of 40 patients suffered from lymphadenectasis, 12 patients had retroperitoneal lymph node enlargement, 9 patients were found to suffer from synchronous enlargement of peritoneal cavity and retroperitoneal lymph node. Clinical symptoms of patients significantly improved after nursing when compared to that of patients before nursing (p<0.05), the differences were statistically significant. Conclusions CT delivers important clinical value in the diagnosis of autoimmune hepatitis, corresponding image assumes certain characteristics, and it provide important diagnostic basis for clinical treatment. Effective nursing intervention can significantly improve clinical symptoms of patients and improve treatment effects, being worthy of wide application and promotion in clinical practices.