Chevaux F, Fontolliet C, Hofstetter J R
Schweiz Med Wochenschr. 1981 May 30;111(22):801-2.
The clinical and histological symptoms of alcoholic hepatitis diagnosed from liver biopsies are investigated and the results compared with the extent of the histological lesions classified as small, medium or large. Nonspecific symptoms were variable and were not found to be related to the histological damage. The only recurring symptom was hepatomegaly, which was present in 95% of the patients studied. Histo-clinical comparison showed the clinical symptoms to be very variable, and it is concluded that accurate diagnosis and knowledge of the severity of the lesion can only be obtained from liver biopsy samples.
对通过肝活检诊断出的酒精性肝炎的临床和组织学症状进行了研究,并将结果与分类为小、中或大的组织学病变程度进行了比较。非特异性症状各不相同,未发现与组织学损伤有关。唯一反复出现的症状是肝肿大,在所研究的患者中95%出现该症状。组织学与临床的比较显示临床症状差异很大,得出的结论是,只有通过肝活检样本才能获得准确的诊断和对病变严重程度的了解。