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580例肝硬化住院患者病因分析
作者:杨志国 陈晓慧 沈敏 汪茂荣 
单位:中国人民解放军第81医院 全军肝病中心 南京 210002 
关键词:肝硬化 病因 
分类号:
出版年,卷(期):页码:2014,6(3):47-49
摘要:

摘要:目的 分析肝硬化的病因组成情况,为肝硬化的合理防治提供一些线索。方法 按照感染性肝病、自身免疫性肝病、酒精性肝病、遗传性代谢性肝病、药物性和环境因素肝损伤、非酒精性脂肪性肝病及原因不明肝病对住院肝硬化患者进行病因分析,采用描述性统计分析。结果 580例肝硬化患者中,病因仍以感染性疾病,以HBV、HCV感染最常见,单纯HBV感染占64.8%,单纯HCV感染占5.3%,HBV和(或)HCV合并其他病因占10.3%。单纯HBV感染引起肝硬化的组成比呈现下降的趋势,自身免疫性肝病、酒精性肝病导致的肝硬化的比例较高,其中酒精性肝病占6.7%,自身免疫性肝病占6.2%。结论 感染性肝病诊断和治疗逐渐规范化的同时,应注重非病毒性肝病的诊治,以减少越来越常见的非病毒性肝病导致的肝硬化。

Abstract: Objective To investigate the etiology of patients with liver cirrhosis in hospital. Methods The etiology of patients with liver cirrhosis was conducted according to infectious disease of the liver, autoimmune liver disease, alcoholic liver disease, inherited metabolic liver disease, drug and environmental factors of liver damage, nonalcoholic fatty liver disease, liver disease of unknown cause, using descriptive statistical analysis. Results All of 580 patients with liver cirrhosis in hospital were analysed, etiology analysis showed infectious disease of the liver (including HBV, HCV) were the most common, 64.8% patients were with the simple HBV infection, 5.3% patients were with the simple HCV infection and 10.3% patients were with the simple HBV and (or) HCV infection and other etiology. The composition ratio of the simple HBV infection appears declining trends. The 6.7% patients were with the alcoholic liver disease, 6.2% patients were with the autoimmune liver disease. Conclusions The quantity of patients with liver cirrhosis will be reduced through paying more attention to non viral liver diseases.

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