Franken F H
Leber Magen Darm. 1977 Oct;7(5):300-5.
General views concerning bed rest, diet and working capability in liver disease have changed during the last years. Rigorous bed rest in acute viral hepatitis is necessary only for short periods of time; it is necessary in chronic liver disease only in rare cases and during the terminal stage, respectively. A liver diet does not exist. Normal palatable nutrition is completely adequate in liver disease. Restriction of protein and sodium chloride intake is indicated only in cases with incumbent coma or with ascites. Patients suffering from acute viral hepatitis are incapable of working; however, they can go back to work a few weeks after the acute stage. Estimation of disability to work in patients with chronic liver disease may be difficult; no general rules can be given; in chronic active hepatitis disability is proportional to the activity of the disease and may range from 20-100%. Fatty liver without inflammatory changes does not influence working capability.
在过去几年里，关于肝病患者卧床休息、饮食及工作能力的一般观点发生了变化。急性病毒性肝炎仅在短时间内需要严格卧床休息；慢性肝病仅在极少数情况下以及终末期才需要卧床休息。不存在所谓的肝病专用饮食。正常可口的营养对肝病患者来说完全足够。仅在出现昏迷或腹水的情况下才需要限制蛋白质和氯化钠的摄入量。急性病毒性肝炎患者无法工作；然而，在急性期过后几周他们就可以重返工作岗位。评估慢性肝病患者的工作能力可能会很困难；无法给出通用规则；在慢性活动性肝炎中，工作能力丧失程度与疾病活动度成正比，可能在20%至100%之间。无炎症变化的脂肪肝不影响工作能力。
