肝炎后肝硬化187例临床分析

Hepatitis Cirrhcois:Clinical Analysis of 187 Cases

对近５年来肝炎后肝硬化１８７例住院病人进行了回顾性总结。活动性肝硬化患者症状重、并发症多、预后差。主要症状为腹胀、乏力、纳差。主要并发症依次为：腹水６１、５％，自发性腹膜炎４１．２％，肝性脑病２３％，上消化道出血１７．１％，肝肾综合症１５．５％。住院病死率为２５．７％。主要死亡原因为肝性脑病３７．５％，上消化道出血２９．２％。酶联法检测ＨＢＶ－Ｍ阳性率７４．３％，提示病因多由ＨＢＶ感染所致。并存原发性肝癌４２例中，伴肝硬化３２例，占７６．２％。说明肝炎后肝硬化易发生癌变，尤以老年患者更突出。

patients with hepatitis cirrhosis were clinical studied during the past 5 years in our hospital.Active cirrhosis pa-tients show severe symptoms,more complica-tions and bad prognosis.Major symptom is abdominal distention,tiredness and poor ap-petite.Major complication is 61.5%of as-cites,41.2% of spontaneous peritonitis, 23% of hepatic encephalopathy,17.1%of upper gastrointestinal hemorrhage and 15.5%of hepatorenal syndrome. Major cause of death is 37.5%of hepatic encephalopathy and 29.2%of upper gastrointestind.HBV-M(+)(ELISA) is 74.3%.This suggests the major cause of the hepatitis cirrhosis results from HBV infection.42 cases of primary car-cinoma of the liver complicate 32 cases of cir-rhosis(76.2%).This shows the hepatitis cirrhosis conduce to carcinomatous conversion, especially in the old patients