黎族肝硬化患者136例临床分析

摘要

Objective To investigate the etiology, complications and liver function classification of patients with liver cirrhosis of Li nationality. Methods The clinical data of 136 hospitalized patients with liver cirrhosis of Li nationality were retrospectively analyzed. Results Etiological analysis showed 64 cases (47.05%) of alcoholic cir-rhosis, 60 cases (44.12%) of hepatitis virus and alcohol, 10 (7.35%) cases of viral hepatitis cirrhosis, and 2 cases (1.47%) of unknown reason. In terms of complications, there were 45 cases of hemorrhage of upper digestive tract (45/136, 33.08%), 28 cases of infections (28/136, 20.58%), and 19 cases of subclinical hepatic encephalopathy (19/138, 13.97%). A total of 82 cases (60.29%) were classified as Child-Pugh B. Conclusion Alcohol abuse is the major cause of liver cirrhosis in patients of Li nationality. The most common complication is digestion tract hemorrhage.%目的：探讨黎族肝硬化患者的病因、并发症及肝功能分级情况。方法回顾性分析136例黎族肝硬化住院患者的临床资料。结果病因构成方面，酒精性肝硬化64例(47.05%)，肝炎病毒合并酒精性肝硬化60例(44.12%)，肝炎病毒性肝硬化10例(7.35%)，不明原因2例(1.47%)；并发症方面，上消化道出血45例(33.08%)，各种感染28例(20.58%)，肝性脑病19例(13.97%)；肝功能Child-pugh分级B级82例(60.29%)。结论酒精是黎族肝硬化患者的主要病因，其并发症以上消化道出血为主，肝功能Child-pugh分级以B级为主。