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目的 对我院 1971～ 2 0 0 0年 35 2例肝硬变住院病人进行回顾性分析。方法 本文就肝硬变的早期诊断和死亡原因进行了探讨 ,并对我国部分地区肝硬变的报道与本文进行了比较。结果 肝炎后肝硬变为 6 4 8% ,Child[1] 分类C级病人症状重 ,合并症多 ,预后差。肝硬变主要并发症为上消化道出血 (4 4 % )及肝性脑病 (2 1% )。住院病人病死率 31 3% ,且有下降趋势 (P <0 0 5 )。结论 肝硬变发病高峰年龄 38～ 4 9岁 ,病因各地均以肝炎后肝硬变为首位 ,主要死亡原因是上消化道出血和肝性脑病。
Objective To retrospectively analyze 352 inpatients with cirrhosis from 1971 to 2000 in our hospital. Methods In this paper, the early diagnosis of liver cirrhosis and the causes of death were discussed, and some reports of cirrhosis in our country were compared with this article. Results Post-hepatitis cirrhosis was 68.4%. Child [1] patients with grade C had severe symptoms and complications with poor prognosis. The main complications of cirrhosis were upper gastrointestinal bleeding (44%) and hepatic encephalopathy (21%). In-patient mortality was 31.3% with a decreasing trend (P <0.05). Conclusions The peak age of cirrhosis is from 38 to 49 years old. The cause of liver cirrhosis is the first place in all the regions. The main causes of death are upper gastrointestinal bleeding and hepatic encephalopathy.