酒精性肝病36例临床分析

Clinical analysis of 36 patients with alcoholic liver disease

目的 探讨酒精性肝病的发病现状、临床治疗及预防方法。方法 整理2009年1月～2010年12月笔者所在医院诊断为酒精性肝病患者36例,对其年龄、饮酒时间、饮酒量、临床表现、并发症及治疗情况进行统计学分析。结果 经积极的治疗患者的肝功能多在15～30d内恢复正常,4例腹腔积液在半个月内消退;5例消化道出血患者经胃镜检查2例为十二指肠溃疡,给予止血、止酸药应用后溃疡愈合;3例肝硬化门脉高压出血行套扎治疗后好转。结论 笔者所在医院所处地区酒精性肝病发病以男性患者为主,经戒酒及保肝等综合治疗能够得到缓解或痊愈,而改变生活方式、饮食习惯是酒精性肝病防治的重点。

Objective To investigate the current incidence,clinical treatment and prevention of alcoholic liver disease.Methods We read 36 case histories of alcoholic liver disease from January,2009 to December,2010.We analysis their age,drinking seniority,capacity for liquor,clinical manifestation,Complication and treatment with statistics method.Results The liver function of most case put back after 15-30 days’ treatment,4 cases of peritoneal effusion in half a month.2 cases of the 5 patients with Hemorrhage of Upper Digestive Tract diagnosed by gastroscopy duodenal ulcer recovered after given the hemostasis and PPI（proton pump inhibitors）,bleeding of 3 patients with cirrhosis and portal hypertension stops after ligation treatment.Conclusion The most patients of alcoholic liver disease are male in our hospital area,most symptom can be alleviated or cured with temperance,protecting liver and other comprehensive treatment,and changing lifestyles and eating habits is the key treatment of alcoholic liver disease.