56例酒精性肝病死亡原因分析

Analysis of 56 Cases Alcoholic Hepatitis Patients' Death Reason

目的探讨酒精性肝病的发病因素和死亡原因。方法对某传染病医院住院死亡的56例酒精性肝病患者的性别、年龄、饮酒情况、死亡主要原因等进行回顾性分析。结果酒精性肝病死亡患者的类型构成多为酒精性肝硬化;死亡年龄以40~60岁为主（78.57%）;失血性休克、脑水肿、感染性休克是酒精性肝病的前三位的直接死因。结论酒精性肝病患者争取早诊断、早治疗,防止向肝硬化、原发性肝癌及肝功能衰竭发展,从而改善预后,降低死亡率。

Objedive To investigate the risk factors and death reason of alcoholic hepatitis, Methods Conduct a retrospective analysis to the gender, age, alcohol consumption, primary death reason and so on of 56 cases alcoholic hepatitis patients. Results Alcoholic cirrhosis took the biggest part of al- coholic hepatitis, most patients died at 40 to 60 years old and the top three direct death reasons were hemorrhagic shock, cerebral edema and septic shock. Conclusions To diagnose and treat as early as possible to prevent alcoholic hepatitis develops towards alcoholic cirrhosis, primary liver cancer and liver function failure, thus improve the prognosis and decrease its death rates.