Xu J H, Fan Y N, Ji T T, Liang R Y, Yu Y Y
Department of Infectious Diseases, Peking University First Hospital, Beijing 100034, China.
Peking University Health Science Center, Peiking University First Hospital, Beijing 100034, China.
Zhonghua Gan Zang Bing Za Zhi. 2022 May 20;30(5):541-545. doi: 10.3760/cma.j.cn501113-20201126-00631.
To understand the clinical characteristics of hospitalized patients with liver cirrhosis, so as to provide theoretical basis for disease diagnosis and treatment, formulation of intervention measures, and improve the level of disease diagnosis and treatment. Hospitalized patients who were initially diagnosed with liver cirrhosis at Peking University First Hospital from August 2017 to December 2018 were selected retrospectively as the research objects. Liver cirrhosis demographic data, etiology, severity classification, incidence of complications, diagnosis and prognosis were recorded. Statistical analysis was performed using SPSS software. Among all liver cirrhosis cases, there were 291 males and 209 females, with a male-to-female ratio of 1.4:1 and an age of 59.5±12.9 years as at August 2017 to December 2018. HBV infection, alcoholic liver disease, and autoimmune liver diseases were the most common etiology of liver cirrhosis. HBV infection alone, HBV infection combined with other factors, alcoholic liver disease alone, alcoholic liver disease combined with other factors, autoimmune liver disease alone, and autoimmune liver disease combined with other factors were presented in 163 (32.6%), 57 (11.4%), 47 (9.4%), 63 (12.6%), 85 (17.0%), and 22 (4.4.0%) cases, respectively. Ascites (221 cases, 44.2%), followed by esophagogastric varices (214 cases, 42.8%), and other including hypersplenism (137 cases), liver cancer (126 cases), upper digestive system tract hemorrhage (66 cases), hepatic encephalopathy (40 cases), infection (37 cases), portal vein thrombosis (23 cases), hepatorenal syndrome (20 cases) were the most common complications. The most common site of infection was the abdominal cavity (20 cases), accounting for 54.1%; followed by respiratory tract infection (8 cases), accounting for 21.6% in patients with liver cirrhosis with concurrent infection. Among them, there were 32 cases of bacterial infection alone, one case of bacterial infection combined with fungal infection, one case of bacterial infection combined with viral infection, and three cases of unknown pathogens. There were 69 cases in Child Pugh grade C, and the average hospitalization times were 12.6 days in terms of prognosis. There were total seven cases of death, of which five cases were due to upper gastrointestinal hemorrhage and two due to hepatic encephalopathy. HBV infection, ascites, and upper gastrointestinal bleeding were the most common etiologies, complications, and causes of death in patients with liver cirrhosis at our hospital.
为了解肝硬化住院患者的临床特征,为疾病诊断与治疗、制定干预措施提供理论依据,提高疾病诊治水平。回顾性选取2017年8月至2018年12月在北京大学第一医院初诊为肝硬化的住院患者作为研究对象。记录肝硬化患者的人口学资料、病因、严重程度分级、并发症发生率、诊断及预后情况。采用SPSS软件进行统计分析。在所有肝硬化病例中,男性291例,女性209例,男女比例为1.4∶1,2017年8月至2018年12月期间患者年龄为59.5±12.9岁。乙型肝炎病毒(HBV)感染、酒精性肝病和自身免疫性肝病是肝硬化最常见的病因。单纯HBV感染、HBV感染合并其他因素、单纯酒精性肝病、酒精性肝病合并其他因素、单纯自身免疫性肝病、自身免疫性肝病合并其他因素分别有163例(32.6%)、57例(11.4%)、47例(9.4%)、63例(12.6%)、85例(17.0%)和22例(4.4%)。腹水(221例,44.2%)最为常见,其次是食管胃静脉曲张(214例,42.8%),其他包括脾功能亢进(137例)、肝癌(126例)、上消化道出血(66例)、肝性脑病(40例)、感染(37例)、门静脉血栓形成(23例)、肝肾综合征(20例)。最常见的感染部位是腹腔(20例),占54.1%;其次是呼吸道感染(8例),在合并感染的肝硬化患者中占21.6%。其中单纯细菌感染32例,细菌感染合并真菌感染1例,细菌感染合并病毒感染1例,病原体不明3例。Child Pugh C级69例,预后平均住院时间为12.6天。死亡共7例,其中5例死于上消化道出血,2例死于肝性脑病。HBV感染、腹水和上消化道出血是我院肝硬化患者最常见的病因、并发症及死亡原因。