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目的探讨军人肝病患者的流行病学、血清学、临床表现及肝穿组织病理学特点。方法对231例住院军人肝穿患者的年龄、性别、入伍地、兵种、职别、临床表现、实验室检查及肝穿组织病理学特点进行调查分析。结果 231例住院军人患者中,男202例,女29例,发病年龄18～73(29.7±9.1)岁,其中18～25岁年龄段所占比例(48.1%)较高,55岁以上所占比例(7.4%)较低。病毒感染性肝病占68.0%,其中战友间传染发病占14.0%,非感染性肝病占32.0%;慢性肝损伤占64.9%,急性肝损伤占35.1%;士兵占47.2%,干部占38.1%,士官占8.7%,其他占6.1%。结论军人肝病患者平均发病年龄较低,以18～25岁为主;士兵所占比例高于干部;病毒性感染所致肝损伤、慢性肝损伤比例较高。对急性肝损伤应进行肝穿病理诊断并及时采取治疗措施,以防止病程慢性化。
Objective To investigate the epidemiology, serology, clinical manifestations and histopathological features of liver-wearing patients in military service. Methods The age, sex, occupation, service level, clinical manifestation, laboratory examination and histopathological features of liver biopsy in 231 hospitalized soldiers were investigated. Results Among the 231 hospitalized soldiers, 202 were male and 29 were female, with a mean age of onset of 18.73 (29.7 ± 9.1) years, of whom 48.1% were high at the age of 18-25 years and were over 55 years old The proportion (7.4%) is lower. Virus-infected liver disease accounted for 68.0%, of which fellow commanders accounted for 14.0% of infections, non-infectious liver disease accounted for 32.0%; chronic liver injury accounted for 64.9%, acute liver injury accounted for 35.1%; soldier accounted for 47.2% cadres accounted for 38.1% Accounting for 8.7%, other accounted for 6.1%. Conclusion The average incidence of liver disease in military patients is relatively low, with the age of 18 to 25 years old. The proportion of soldiers is higher than that of cadres. The percentage of liver injury and chronic liver injury caused by viral infection is higher. Acute liver injury liver biopsy should be diagnosed and timely treatment to prevent chronic disease.