酒精性肝炎72例临床分析

Clinical Analysis of 72 Cases Alcoholic Hepatitis

目的观察酒精性肝炎的临床表现、治疗及顸后.方法对72例酒精性肝炎患者的临床资料进行回顾性分析研究.结果72例酒精性肝炎患者,实验室检查均无病毒性肝炎史,血清肝炎病毒标志物检查亦阴性.经对症治疗后显效40例,有效25例,总有效率为90.28%;转为肝硬化者6例,死亡1例.结论长期大量饮酒是引起酒精性肝病的主要原因,每天饮酒80～120g持续5年以上,90%有脂肪肝,10%～35%有酒精性肝炎,1.5%～8%有酒精性肝硬化.严格戒酒是其良好预后的关键.

Objective To explore the cause of disease, therapy effect and prognosis of the alcoholic hepatitis. Methods Carry on retrospective analysis research to the sufferer＇s clinical data of 72 cases alcoholic hepatitis. Results Among the 72 patients, 40 cases show effect, 25 cases were valid, total efficient rate were 90.28%. 6 cases turn into the cirrhosis, 1 case died. Conclusion Long - term great deal of drinking alcohol is the main reason of alcoholic hepatitis. Drinking everyday 80 120g for 5 years above ,90% patients suffered from the fatty liver, 10% -35% patients suffered from the alcoholic hepatitis, 1.5% -8% suffered from the alcoholic cirrhosis. Abstain from alcohol strictly is the key for good prognosis.