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目的分析老年人肝功能异常病因及临床特点。方法检测甲～戊型肝炎病毒血清学标志物、EB病毒等非嗜肝病毒抗体及自身抗体,行腹部B超或CT检查。结果乙型肝炎、胆源性肝损、非嗜肝病毒感染、自身免疫紊乱伴肝损分别占30.12%、13.18%、12.24%、11.17%。老年组急性肝损(59.76%)低于青中年组;肝硬化(16%)高于青中年组。结论乙型肝炎是老年人肝功能异常常见原因,其他原因不容忽视。
Objective To analyze the etiology and clinical features of liver function abnormalities in the elderly. Methods Serum markers of hepatitis A and E, non-hepadnavirus antibodies such as Epstein-Barr virus (EBV) and autoantibodies were detected by abdominal ultrasonography or CT. Results Hepatitis B, biliary cirrhosis, non-hepadnavirus infection, autoimmune disorders and liver damage accounted for 30.12%, 13.18%, 12.24% and 11.17% respectively. Acute liver injury in the elderly group (59.76%) was lower than in the young middle-aged group; cirrhosis (16%) was higher than in the middle-aged young group. Conclusion Hepatitis B is a common cause of abnormal liver function in the elderly. Other causes should not be overlooked.