Müller H O, Salamon V, May B, Pohle W
Aktuelle Gerontol. 1978 Mar;8(3):143-8.
A group of 165 geriatric patients is compared with a control group of 114 younger patients concerning different frequency of laparoscopic diagnoses. As it was suspected from the clinical view aged patients predominently suffered from posthepatic cirrhosis and from cirrhosis of unknown origin, from recurrent cholecystitis, obstructive jaundice, metastases and carcinosis of peritoneal cavity. Younger patients much more frequently showed toxic liver damage starting from fatty liver and ending up with fatty liver cirrhosis. Persistent acute hepatitis non associated with HBSAg was scarcely seen with the aged group. It was a frequent diagnosis with the younger control group. There are explanations given for the differing endoscopic results concerning aged persons and younger control persons.
将一组165名老年患者与一组114名较年轻患者就腹腔镜诊断的不同频率进行比较。从临床角度怀疑,老年患者主要患有肝后性肝硬化、不明原因的肝硬化、复发性胆囊炎、梗阻性黄疸、转移瘤和腹膜癌。较年轻患者更常出现从脂肪肝开始并最终发展为脂肪性肝硬化的中毒性肝损伤。老年组很少见到与乙肝表面抗原无关的持续性急性肝炎。这在较年轻的对照组中是常见诊断。文中对老年患者和较年轻对照组在内镜检查结果上的差异给出了解释。