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急性酒精性肝炎

Acute alcoholic hepatitis.

作者信息

Bertrand L

出版信息

J R Coll Physicians Lond. 1977 Oct;12(1):30-5.

PMID:926058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5366709/
Abstract

Acute alcoholic hepatitis is an anatomical (fatty liver with sclerosing hyaline necrosis) and a clinical (hepatomegaly with a variety of symptoms of hepatic failure) entity arising out of chronic alcoholism, and of a typically 'pre-cirrhotic' state. Although fatal in 25% of acute cases due to failure of homeostasis, it often leaves a centrilobular scarring necrosis which in more than 60% of cases progresses to nodular cirrhosis. Continued alcoholism worsens the prognosis. Alcoholic hepatitis may be confused with acute abdominal catastrophes or with a hepatoma. The characteristic Mallory bodies found on liver biopsy are found rarely in non-alcoholic hepatitis. There is no effective treatment for this disease except reduction of alcohol intake; indeed, the disease may become self-perpetuating.

摘要

急性酒精性肝炎是一种由慢性酒精中毒引起的解剖学(伴有硬化性透明坏死的脂肪肝)和临床(肝肿大伴各种肝功能衰竭症状)实体,处于典型的“肝硬化前期”状态。尽管25%的急性病例因内稳态失衡而致命,但它通常会留下小叶中心瘢痕性坏死,其中超过60%的病例会发展为结节性肝硬化。持续酗酒会使预后恶化。酒精性肝炎可能与急性腹部急症或肝癌相混淆。肝活检发现的特征性马洛里小体在非酒精性肝炎中很少见。除了减少酒精摄入外,这种疾病没有有效的治疗方法;事实上,这种疾病可能会自我延续。

相似文献

1
Acute alcoholic hepatitis.急性酒精性肝炎
J R Coll Physicians Lond. 1977 Oct;12(1):30-5.
2
Sclerosing hyaline necrosis in noncirrhotic chronic alcoholic hepatitis.
Am J Clin Pathol. 1976 Nov;66(5):802-9. doi: 10.1093/ajcp/66.5.802.
3
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4
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5
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6
Rapidly progressive liver injury and fatal alcoholic hepatitis occurring after liver transplantation in alcoholic patients.酒精性肝病患者肝移植后发生的快速进展性肝损伤和致死性酒精性肝炎。
Transplantation. 1999 Jun 27;67(12):1562-8. doi: 10.1097/00007890-199906270-00010.
7
[Histologic evolution of acute alcoholic hepatitis].[急性酒精性肝炎的组织学演变]
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8
[Acute alcoholic hepatitis].
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[Acute hepatitis, chronic hepatitis, cirrhosis: the intermediate and final stages in liver damage induced by chronic alcohol abuse].[急性肝炎、慢性肝炎、肝硬化:慢性酒精滥用所致肝损伤的中间和终末阶段]
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本文引用的文献

1
Pathogenesis of the cirrhosis produced by choline deficiency; escape of lipid from fatty hepatic cysts into the biliary and vascular systems.胆碱缺乏所致肝硬化的发病机制;脂质从脂肪肝囊肿逸入胆道和血管系统。
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2
SCLEROSING HYALINE NECROSIS OF THE LIVER IN THE CHRONIC ALCOHOLIC. A RECOGNIZABLE CLINICAL SYNDROME.慢性酒精中毒患者肝脏的硬化性透明坏死。一种可识别的临床综合征。
Ann Intern Med. 1963 Nov;59:646-73. doi: 10.7326/0003-4819-59-5-646.
3
Acute alcoholic hepatitis. A clinical study of fifty cases.急性酒精性肝炎。五十例临床研究。
Arch Intern Med. 1963 Jul;112:67-78. doi: 10.1001/archinte.1963.03860010113013.
4
Acute alcoholic hepatitis.急性酒精性肝炎
Br Med J. 1961 Oct 28;2(5260):1113-9. doi: 10.1136/bmj.2.5260.1113.
5
Postnecrotic cirrhosis in alcoholics.酒精性肝病患者的坏死后性肝硬化。
Gastroenterology. 1960 Dec;39:669-89.
6
Acute hepatic insufficiency of the chronic alcoholic; clinical and pathological study.
AMA Arch Intern Med. 1954 Oct;94(4):585-603. doi: 10.1001/archinte.1954.00250040077007.
7
[Pseudosurgical icterus in alcoholic hepatitis].[酒精性肝炎中的假性手术性黄疸]
Gastroenterologia. 1967;108(2):94-102.
8
[Sclerosing hyaline necrosis of the alcoholic liver. (Anatomo-clinical and hemodynamic entity. Its cirrhogenic potential)].
Presse Med (1893). 1966 Dec 25;74(55):2837-42.
9
Portal hypertension without cirrhosis in alcoholic liver disease.酒精性肝病中无肝硬化的门静脉高压症。
Ann Intern Med. 1969 Mar;70(3):497-506. doi: 10.7326/0003-4819-70-3-497.
10
Alcohol-induced hepatic injury in nonalcoholic volunteers.非酒精性志愿者的酒精性肝损伤
N Engl J Med. 1968 Apr 18;278(16):869-76. doi: 10.1056/NEJM196804182781602.