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酒精可引起肝脏损害,其损害包括酒精性肝炎、脂肪肝和肝硬化等,往往两种或多种损害同时存在,为了观察酒精性肝炎或并发脂肪肝、肝硬化患者的肝功能及血脂变化情况并探讨其临床意义,笔者对70例酒精性肝炎患者的临床资料进行回顾分析。现报告如下。1 对象和资料1.1 一般资料 本文病例来自1998年1月~2000年12月经住院确诊的酒精性肝炎70例,均为男性患者,年龄31~76岁(47.1岁),饮酒时间5~40年(18.1年),日酒精量80~810g(282g),酒类以啤酒,白酒为主,黄酒为次,其中渔农民20例,干部18例,个体经营者16例,工人6例,其它10例。1.2 诊断依据 本文患者有饮酒史,日酒精量大于80g,饮酒时间持续5~10年以上,并经B超或CT检查,检测甲、乙、丙、丁、戊型肝炎血清阴性者并排除其它原因引起的肝脏损害者。1.3 分组 70例分 3组:Ⅰ组酒精性肝26例,Ⅱ组酒精
Alcohol can cause liver damage, its damage, including alcoholic hepatitis, fatty liver and cirrhosis, often two or more damage simultaneously, in order to observe alcoholic hepatitis or concurrent fatty liver, liver cirrhosis patients and changes in blood lipids And explore its clinical significance, the author of 70 cases of alcoholic hepatitis in patients with clinical data were analyzed retrospectively. The report is as follows. 1 Subjects and Materials 1.1 General Information The case from the hospital from January 1998 to December 2000 confirmed 70 cases of alcoholic hepatitis, are male patients, aged 31 to 76 years (47.1 years), drinking time of 5 to 40 years 18.1 years), the daily amount of alcohol is 80 ~ 810g (282g). The main types of alcoholic drinks are beer and liquor, while the yellow wine is secondary, including 20 fishermen and peasants, 18 cadres, 16 self-employed workers, 6 workers and 10 others . 1.2 Diagnosis based on the history of this patient’s drinking, alcohol content greater than 80g, drinking time lasts 5 to 10 years, and by B- or CT, detection of hepatitis A, B, C, D, hepatitis E seronegree and exclude other Cause of liver damage caused by those. 1.3 Group 70 cases divided into 3 groups: Ⅰ group of alcoholic liver in 26 cases, Ⅱ group of alcohol