摘要
目的研究肝硬化患者死亡与并发症的关系,改善预后。方法分析230例肝硬化患者的年龄、病因、临床表现、并发症和常见死亡原因。结果其中以50～59岁和40～49岁年龄组患者发病率高达33%、30.9%。病毒性肝炎后肝硬化166例(72%),血吸虫性肝硬化23例(5%)。并发上消化道出血28例(12%),肝昏迷15例(6%),感染29例(13%),原发性肝癌16例占7%。230例患者中院内死亡25例,死亡率11%,死因中:上消化道大出血17例(34%);肝昏迷13例,感染20例,占死亡病例80%。结论预防和治疗肝硬化患者的并发症是提高肝硬化患者存活率的重要方法。
Objective Retrospective observation the relation between the death and the complications on patients with hepatocirrhosis,and found the best way to improve their prognosis. Methods 230 cases with liver cirrhosis were studied, including the patients ages, pathogeny, clinic representation, complications and common causes of death. Results Incidence of patients between 50 to 59 years old were highest （33%）, the next was group of 40 to 49 years old（ 30. 9% ）. On the several kinds of pathogenies,the liver cirrhosis after virus hepatitis was on the first place （72%） , cirrhosis after schistosome were 5%. Several kinds of complications were seen in these cases, such as infection （ 13 % ） , digestive system haemorrhage （ 12% ） , cancer （ 7 % ） , and so on. Digestive system haemorrhage was the most common cause of the death in the patients. Conclusion Preventions and treatment of the complications can improve the livability patients with liver cirrhosis.
出处
《中国实用医药》
2008年第30期94-95,共2页
China Practical Medicine
关键词
肝硬化
临床分析
预后
并发症
Hepatocirrhosis
Clinical analysis
Prognosis
Complications
