178例肝硬化病因及临床特点分析

178例肝硬化病因及临床特点分析

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1、178例肝硬化病因及临床特点分析孟晓丹,向国卿,贺小虎,王炳元孟晓丹,向国卿,贺小虎,王炳元,中国医科大学附属笫一医院消化内科辽宁省沈阳市110001孟晓丹,女,1982・03・23生,辽宁省沈阳市人,汉族,中国医科大学硕士研究生通讯作者:王炳元,110001,辽宁省沈阳市和平区南京北街155号,中国医科大学附属第一医院消化内科.wnngby@mcdmai1.com.cn电话:024-83282776传真:024-83282200基金资助项忖:辽宁省教育厅科学技术研究基金资助项目,NO.2004D169收稿H期:接受日期:EtiologyandClini

2、calCharacteristicAnalysisofLiverCirrhosisin178CasesXiao-DanMeng,Guo-QingXiang,Xiao-HuHe,Bing-YuanWangXiao-DanMeng,Guo-QingXiang,Xiao-HuHe,Bing-YuanWang,DepartmentofGastroenterology,theFirstAffiliatedHospitalofChinaMedicalUniversity,Shenyang110001,LiaoningProvince,ChinaCorresponde

3、nceto:Bing-YuanWang,DepartmentofGastroenterology,theFirstAffiliatedHospitalofChinaMedicalUniversity,Shenyang110001,LiaoningProvince,China.wangby@medmail.com.cnSupportedby:theDepartmentofEducationScienceTechnologyInvestigationFoundationofLiaoningProvince,No.2004D169Fteceived:Accep

4、ted:AbstractAIM:ToinvestigatetheetiologyandclinicalcharacteristicoflivercirrhosisintheNortheastofChina.METHODS:Weretrospectivelyanalyzed178casesdiagnosedaslivercirrhosis,whichwereadmittedintheFirstAffiliatedHospitalofChinaMedicalUniversityfromJanuary2007toOctober2007.Amongthem126

5、weremaleand52werefemale(themale/femaleratiowas2.42:1);theagerangedfrom19to83yearsold(average55.93±12.80years).RESULTS:61cases(34.3%)hadsimplehepatitisBvirusinfection,11cases(6.2%)hadsimplehepatitisCvirusinfection,and3patients(1.7%)hadoverlappinginfectionwithhepatitisBandC;39cases

6、(21.9%)hadsimplealcoholiccirrhosis;27(15.2%)caseshadco-injurywhichcausedbyalcoholandhepatitisvirus,amongthemtherewere23(12.9%)caseswerecausedbyalcoholandhepatitisBvirusinfection,and4(2.3%)caseswerecomplicatedwithhepatitisCvirusinfection;andtherestincludedprimarybiliarycirrhosiswi

7、th8cases(4.5%)andcryptogeniccirrhosiswith29cases(16.3%)・Abdominaldistention,ascitesandsplenomegalywerecommonlyappearedinviralinfectionorheavydrinker,butastheniaandjaundicehadhighertendencyinalcohol-relatedpatient,especiallythespidertelangiectasiaofdistalforearmhadmorespecificityf

8、oralcoholiccirrhosis.Theuppergastrointes

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