肝硬化病人发热原因的探讨——附172例分析

Study on causes of fever in cirrhotic patients'an analysis of 172 cases

目的:探讨肝硬化病人发热原因。方法:对组织学和临床诊断的肝硬化发热病人进行回顾性分析。结果:421例肝硬化病人中,172例伴发热,占40.9％。以各种感染为最多,共75例(43.6％),其他原因主要有结核性腹膜炎、慢性活动性肝炎、合并肝癌或其他癌症,消化道出血和未明原因发热(21例、12.2％)。住院期间死亡48例,同期住院不发热的肝硬化249例中死亡41例。结论:肝硬化病人发热原因较多,其中以感染最为常见,伴发热的肝硬化病人预后更差。

AIM The causes of fever in cirrhotic patients were studied.METHODS Four hundred and twenty two cases of liver cirrhosis were analysed retrospectively.RESULTS Of 421 cases of liver cirrhosis 172(40.9%)cases had fever.Various infection was the most important cause,others included tuberculous peritonitis,chronic active hepatitis,associates hepatic carcinoma or other cancers,gastrointestinal tract bleeding and fever of unknown cause(21 cases,12.2%).48 of patients with fever died,compared to 41 patients died among 249 cirrhotic patients without fever within the same duration.CONCLUSIONS Although cirrhotic patients had several factors that caused fever,infection was the most important one.The patients with fever had poorer prognosis.