黄疸352例年龄与性别分析

The Age and Sex Analysis of 352 Patients with Jaundice

目的:了解各种原因黄疸患者在不同性别和年龄中分布情况。方法:回顾性分析2004年1月至2006年12月孙逸仙纪念医院收治的有明确诊断(经手术、病理或临床)的352例显性黄疸患者(年龄小于15岁的儿童除外)的临床资料。结果:本组患者年龄16-90岁,平均54.4±16.1岁。青年组肝细胞性黄疸最多见,中老年组胆汁淤积性黄疸最多见。男:女性别比例为1.88:1。男性原发性肝癌最多见;女性胆管癌最多见。结论:青年组患者肝细胞性黄疸多见,以病毒性肝炎为主;中年组患者肝细胞性及胆汁淤积性黄疸均多见,以肝癌和肝炎后肝硬化为主;老年组患者胆汁淤积性黄疸多见,以恶性肿瘤和肝炎后肝硬化为主。男性患者肝细胞性黄疸多见,以肝癌为主女性患者溶血性黄疸多见,以胆管癌为主。

Objective： To explore the age and sex distribution of patients with jaundice. Methods： The clinical data of 352 patients with jaundice diagnosed by operation, pathology or clinical in SUN Yat-sen memoriay hospital were analyzed from Jan 2004 to Dec 2006.Patients younger than 15 years were excluded. Results： The age ranged from 16 to 90 years, the mean age was 54.4±16.1 years. Hepatocellular jaundice was the most in young group and cholestatic jaundice was the most in mid-aged and aged group. Sex ratio （male： female） of jaundice was 1.88. Primary liver carcinoma was most common in male, cholangiocarcinoma was most common in female. Conclusions： Hepatocellular jaundice is common in young group and virus hepatitis is the commonest etiology. Hepatocellular jaundice and cholestatic jaundice are common in mid-aged group, primary liver cancer is common etiology. Cholestatic jaundice is common in aged group, malignant tumor is common etiology. Male patient is more than female patient in hepatocellular jaundice. Female jaundice is more than male patient in hemolytic jaundice. Primary liver cancer is common in male patient with jaundice. Cholangiocarcinoma is common in female patient with jaundice.