Naim U
Minerva Med. 1977 Oct 6;68(47):3265-9.
In 15 patients suffering from slight forms of alcohol-induced liver damage, the clinical picture was so varied that correct diagnosis was only possible on the basis of all anamnestic, clinical, biochemical and histological data. From the histopathological viewpoint, the forms presented as simple hepatic steatosis or acute inflammatory lesion (alcoholic hepatitis). Clinical and histological signs are reversible if the patient stops drinking, whereas if he continues to consume alcohol the prognosis is much more serious. This is why it is important to make correct diagnosis even in slight forms of acute alcoholic hepatopathy.
在15例患有轻度酒精性肝损伤的患者中,临床表现差异很大,只有综合所有既往史、临床、生化和组织学数据才能做出正确诊断。从组织病理学角度来看,这些形式表现为单纯性肝脂肪变性或急性炎症性病变(酒精性肝炎)。如果患者戒酒,临床和组织学体征是可逆的,而如果继续饮酒,预后则要严重得多。这就是为什么即使在轻度急性酒精性肝病中做出正确诊断也很重要的原因。