解放军医学杂志2012，Vol.37Issue(6)：653-656,4.
军人肝病患者的临床与肝穿病理学特点研究
Clinical and liver biopsy pathological features in military patients with liver diseases: An analysis of 231 cases
孙艳玲 1施明 1张敏 1苏海滨 1郭晓东 2熊璐 2张文瑾 3赵平 3赵景民3
作者信息
- 1. 100039北京 解放军302医院肝移植中心
- 2. 100039北京 解放军302医院病理科
- 3. 100039北京 解放军302医院军人肝病诊疗中心
- 折叠
摘要
Abstract
Objective To explore epidemiological, serological and histopathological (by liver biopsy) features of liver diseases, and clinical manifestations in patients of the Chinese armed forces. Methods The clinical data of 231 cases of military patients with liver diseases in our hospital were retrospectively analyzed in terms of their age, gender, location of enlistment, services, official rank, clinical manifestation, and laboratory examination, and also pathological characteristics of liver biopsy. Results Among the 231 hospitalized military patients, 202 were male and 29 were female. The age at onset of the disease ranged from 18 to 73 years (mean age 29.7 ± 9.1). Higher morbidity (48.1%) was found in the 18-25 year age bracket, while lower (only about 7.4%) in above SS-year-old age bracket. Virus infection accounted for 68.0% and non-virus infection accounted for 32.0%. About 64.9% of the patients suffered from chronic liver disease, while 35.1% from acute liver disease. In addition, the prevalence of liver disease was as high as 47.2% in the soldiers, slightly higher than that in the officers (about 38.1%). Transmission of the disease between comrades in arms accounted approximately for 14.0%. Conclusions The mean age of onset of liver disease in military personnel is younger, ranging from 18 to 25 years old predominantly, and the incidence is gradually decreased along with the age. The prevalence of liver disease may be higher in soldiers than in officers. There is a higher percentage of virus infection-associated liver ailment and chronic liver ailment. For acute liver ailment, pathological diagnosis by liver biopsy should be made, and timely therapeutic measures should be taken to prevent transformation of acute to chronic stage.关键词
肝疾病/活组织检查,针吸/病理学,临床/军事人员Key words
liver diseases/ biopsy, needle/ pathology, clinical/ military personnel分类
医药卫生引用本文复制引用
孙艳玲,施明,张敏,苏海滨,郭晓东,熊璐,张文瑾,赵平,赵景民..军人肝病患者的临床与肝穿病理学特点研究[J].解放军医学杂志,2012,37(6):653-656,4.
