酒精性肝硬化与肝炎后肝硬化临床特征比较分析

左国庆; 沈鼎明

doi:10.13406/j.cnki.cyxb.1998.04.011

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酒精性肝硬化与肝炎后肝硬化临床特征比较分析

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- 酒精性肝硬化与肝炎后肝硬化临床特征比较分析
- A comparative study of the cilinical features between the alcoholic cirrhosis and the hepatitic cirrhosis
- 重庆医科大学学报 1998年第4期页码：359-361
- 作者机构：
  
  1. 重庆医科大学第二临床学院消化内科
  2. 重庆医科大学第二临床学院消化内科主治医师硕士
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1998.04.011
  中图分类号： R575.2
- 纸质出版日期：1998，
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[1]左国庆,沈鼎明.酒精性肝硬化与肝炎后肝硬化临床特征比较分析[J].重庆医科大学学报,1998(04):359-361.

A comparative study of the cilinical features between the alcoholic cirrhosis and the hepatitic cirrhosis[J]. Journal of Chongqing Medical University, 1998,(4):359-361.
[1]左国庆,沈鼎明.酒精性肝硬化与肝炎后肝硬化临床特征比较分析[J].重庆医科大学学报,1998(04):359-361. DOI： 10.13406/j.cnki.cyxb.1998.04.011.

A comparative study of the cilinical features between the alcoholic cirrhosis and the hepatitic cirrhosis[J]. Journal of Chongqing Medical University, 1998,(4):359-361. DOI： 10.13406/j.cnki.cyxb.1998.04.011.

摘要

本文分析我院近5年收治的酒精性肝硬化（AC）与肝炎后肝硬化（HC）的临床特点并相比较

结果显示:职业分布 AC 以工人发病率最高占62.9%

明显高于其它职业（P<0.01）

HC 以工人（48.2%）和干部（43.1%）居多

与其它职业也有显著差异（P<0.01）

年龄分布 AC>60岁组占33.9%

明显高于 HC 组（13.5%）（P<0.01）

HC<40岁组占39.9%

明显高于 AC 组（24.2%）（P<0.05）;AC 的临床特点以肝功能损害占优势

而 HC 则以门脉高压的表现为主。本研究为临床防治发病率日益增多的 AC 提供了一定的理论依据。

Abstract

The clinical features of the alcoholic cirrhosis(AC)and hepatitic cirrhosis(HC)were compared in a total of 62 cases with AC and 311 cases with HC.The resultes showed the incidence of AC was significantly higher for workers than that of HC for other occupations(P<0.01).The incidence of AC was significantly higher in the >60 age group(33.9%)than that of HC(13.5%)(P<0.01).The plysical findinge of the upper abdominal pain

jau ndice and hepatomegaly were frequently found in patients with AC

The serum levels of AST:ALT ratio

GGT

ALP were significantly higher in AC than in HC(P<0.01).On the other hand

the incidence of ascites and splenomegaly were significantly higher in HC than in AC(P<0.01).These results suggested that the clinical features of AC were mainly hepatic dysfunction

while that of HC preponderate in portal hypertension.The prognosis of AC was much better than that of HC.

关键词

酒精性肝硬化肝炎后肝硬化临床特征

Keywords

Alcoholic cirrhosisHepatitic cirrhosisclinical features

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