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[老年人酒精性肝病]

[Alcohol-related liver diseases in the aged].

作者信息

Santonastaso M, Zanatta N, Cioffi A, Garbelotto R, Cecchetti E

机构信息

Unità Operativa di Medicina Generale, Ospedale Civile, Vittorio Veneto.

出版信息

Recenti Prog Med. 2000 Mar;91(3):113-5.

Abstract

In these last years the authors have devoted themselves to chronic alcoholism rehabilitation. They have studied 99 over 65 years old subjects. In these subjects gastrointestinal pathology alcohol correlated incidence has been studied. An abdominal echography and an esophagogastroduodenoscopy have been performed in all these subjects. In some subjects, on the guide line of these tests, the authors have put through more tests: hepatosplenic scintigraphy, hepatic biopsy, laparoscopy, colonoscopy. Statistic elaboration was performed by chi-square test. The conclusions of this study are: 1) the diagnostic importance of association between echography and scintigraphy; 2) the low prevalence of severe hepatic alcohol related lesions in the elderly; 3) the importance of alcohol in hepatocarcinoma etiopathogenesis; 4) the incidence and the importance of phlogistic and ulcerous gastroduodenal lesions in elderly alcoholics.

摘要

在过去几年里,作者致力于慢性酒精中毒康复治疗。他们研究了99名65岁以上的受试者。在这些受试者中,研究了与酒精相关的胃肠病理学发病率。对所有这些受试者都进行了腹部超声检查和食管胃十二指肠镜检查。在某些受试者中,根据这些检查的结果,作者进行了更多检查:肝脾闪烁扫描、肝活检、腹腔镜检查、结肠镜检查。采用卡方检验进行统计学分析。本研究的结论是:1)超声检查和闪烁扫描联合应用的诊断重要性;2)老年人中与酒精相关的严重肝脏病变的低患病率;3)酒精在肝癌病因学中的重要性;4)老年酗酒者中炎症性和溃疡性胃十二指肠病变的发病率及重要性。

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