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2041例肝硬化病因及并发症分析

王秀珍 刘雪峰

浙江医学2017,Vol.39Issue(1):37-39,3.
浙江医学2017,Vol.39Issue(1):37-39,3.

2041例肝硬化病因及并发症分析

Etiology and complications of liver cirrhosis: an clinical analysis of 2041 cases

王秀珍 1刘雪峰1

作者信息

  • 1. 317500 温岭市第一人民医院感染科
  • 折叠

摘要

Abstract

Objective To analyze the causes and complications of patients with liver cirrhosis.Methods Clinical data of 2041 patients with liver cirrhosis admitted in Wenling First People's Hospital from January 2005 to December 2014 were analyzed retrospectively.Results Among 2041 cirrhotic patients,1565 cases (76.68%) were associated with hepatitis B virus infection,233 cases(11.42%) with alcoholism,52 cases(2.55%) with autoimmune liver disease,63 cases(3.09%) with both hepatitis B virus and alcohol,and 55 cases (2.69%) with cryptogenic cirrhosis.The HBV infection as a cause of cirrhosis was decreased from 81.82% in 2005-2009 to 72.78% in 2010-2014 (P<0.01),while alcoholism increased from 7.95% to 14.04%(P<0.01) and autoimmune liver disease increased from 1.25% to 3.53%(P<0.01).The most common complication of cirrhosis was primary hepatocellular carcinoma (22.29%),followed by spontaneous peritonitis (18.47%),upper gastrointestinal bleeding (17.20%),hepatic encephalopathy (6.66%) and hepatorenal syndrome (2.01%).Conclusion Hepatitis virus B infection is still the main cause of cirrhosis,and the alcoholism and autoimmune disease trend to increase.HCC is the major complication of liver cirrhosis.

关键词

肝硬化/病因/并发症

Key words

Liver cirrhosis/Etiology/Complication

引用本文复制引用

王秀珍,刘雪峰..2041例肝硬化病因及并发症分析[J].浙江医学,2017,39(1):37-39,3.

浙江医学

OACSTPCD

1006-2785

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