文章摘要
黄涛 曾凡荣.酒精性肝病 90例临床分析[J].实用中西医结合临床,2007,(5):34-35
酒精性肝病 90例临床分析
  
DOI:
中文关键词: 酒精性肝病  饮酒史  肝功能  临床分析
英文关键词: Alcoholic liver disease  History of alcohol intake  Liver function  Clinical analysis
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作者单位
黄涛 曾凡荣 河南省潢川县人民医院 
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中文摘要:
      目的:分析酒精性肝病患者发病情况及临床特点。方法:根据门诊及住院患者的饮酒量、饮酒时间、临床表现、肝功能检查、影像学检查、相应并发症、治疗等临床资料,进行分析和讨论。结果:酒精性肝病发病有增多趋势, 长期饮酒史和AST/ALT、GGT、TBiL 对酒精性肝炎的诊断有重要意义。A/G 比值随疾病进展而降低。慢性病毒性肝炎的饮酒者预后差,死亡的主要原因是肝硬化的晚期并发症。结论:酒精性肝病病情和预后与长期饮酒史(包括饮酒量 、饮酒时间)有关。对于有饮酒嗜好的病人,应对其进行健康教育劝其戒酒,并定期监测AST/ALT、GGT、TBiL 等生化指标,及早进行治疗,改善预后。
英文摘要:
      Objective:To study the morbidity and clinical characteristics of alcoholic liver disease (ALD).Methods:The clinical data of 90 patients with ALD were analyzed statistically, Which included history of alcohol intake, clinical manifestations, liver function tests and radiology results. Results:The morbidity of ALD, especially alcoholic liver cirrhosis is increasing annually. Measurements of AST/ALT, GGT, TBiL and long-term alcohol abuse history are of important significance in diagnosis of alcoholic hepatitis, while the decrease of A/G ratio indicates the progression of disease. Those with chronic viral hepatitis have poor prognosis . The main causes for death are the complications at late stage of liver cirrhosis.Conclusion:The severity and prognosis of ALD may be related to the long-term alcohol abuse history (including the amount and duration of drinking).AST/ALT,GGT,TBiL,should be detected timely for the patients with alcohol addiction in order to diagnose and treat so as to improve their prognosis. And health education should also be given to them and their temperance should be encouraged.
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