Almdal T P, Sørensen T I
Department of Medicine A, Rigshospitalet, Copenhagen, Denmark.
Hepatology. 1991 Apr;13(4):650-5.
The sex-specific and age-specific incidence rates of the major parenchymal liver diseases in a North European population were estimated using a computerized registry of all admissions to somatic hospitals in Denmark. The incidence was calculated by counting all incident cases of these diseases reported to the registry in the 5-yr period 1981 to 1985 and dividing the number of cases by the number of person-years at risk in this period. The incidence rates (per million person-years) were for men and women, respectively: infectious hepatitis, 109 and 71; toxic hepatitis, 19 and 22; chronic hepatitis, 27 and 29; alcoholic cirrhosis, 190 and 85; nonalcoholic nonbiliary cirrhosis, 110 and 82; primary biliary cirrhosis, 4 and 14. The pattern of the age-specific incidence rates was similar in men and women in infectious hepatitis, alcoholic cirrhosis, nonalcoholic nonbiliary cirrhosis and primary biliary cirrhosis. Toxic and chronic hepatitis had a higher incidence in women than in men only in older age groups. The incidence of idiopathic hemochromatosis, Wilson's disease, secondary biliary cirrhosis, portal vein thrombosis and Budd-Chiari's syndrome were less than four in both sexes.
利用丹麦所有综合医院入院情况的计算机化登记系统,估算了北欧人群中主要实质性肝病的性别和年龄特异性发病率。发病率通过统计1981年至1985年这5年期间登记系统报告的所有这些疾病的新发病例数,并将病例数除以该期间的风险人年数来计算。发病率(每百万人口年)分别为男性和女性:传染性肝炎,109和71;中毒性肝炎,19和22;慢性肝炎,27和29;酒精性肝硬化,190和85;非酒精性非胆汁性肝硬化,110和82;原发性胆汁性肝硬化,4和14。在传染性肝炎、酒精性肝硬化、非酒精性非胆汁性肝硬化和原发性胆汁性肝硬化中,男性和女性的年龄特异性发病率模式相似。中毒性和慢性肝炎仅在老年人群中女性发病率高于男性。特发性血色素沉着症、威尔逊病、继发性胆汁性肝硬化、门静脉血栓形成和布加综合征的发病率在两性中均低于4。