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目的:了解各种原因黄疸患者在不同性别和年龄中分布情况。方法:回顾性分析2004年1月至2006年12月孙逸仙纪念医院收治的有明确诊断(经手术、病理或临床)的352例显性黄疸患者(年龄小于15岁的儿童除外)的临床资料。结果:本组患者年龄16-90岁,平均54.4±16.1岁。青年组肝细胞性黄疸最多见,中老年组胆汁淤积性黄疸最多见。男:女性别比例为1.88:1。男性原发性肝癌最多见;女性胆管癌最多见。结论:青年组患者肝细胞性黄疸多见,以病毒性肝炎为主;中年组患者肝细胞性及胆汁淤积性黄疸均多见,以肝癌和肝炎后肝硬化为主;老年组患者胆汁淤积性黄疸多见,以恶性肿瘤和肝炎后肝硬化为主。男性患者肝细胞性黄疸多见,以肝癌为主女性患者溶血性黄疸多见,以胆管癌为主。
Objective: To understand the distribution of jaundice patients in different genders and ages for various reasons. Methods: Clinical data of 352 patients with idiopathic jaundice (excluding children younger than 15 years old) with definite diagnosis (surgery, pathology or clinical) admitted at Sun Yat-sen Memorial Hospital from January 2004 to December 2006 were retrospectively analyzed. Results: The patients aged 16-90 years, with an average of 54.4 ± 16.1 years. The most common group of young patients with hepatocellular jaundice, cholestatic jaundice in the elderly most common. Male: Female ratio is 1.88: 1. The most common primary liver cancer in men; the most common female bile duct cancer. Conclusion: Young patients with hepatocellular jaundice more common, mainly viral hepatitis; middle-aged patients with hepatocellular and cholestatic jaundice are more common in patients with liver cancer and liver cirrhosis; elderly patients with cholestasis Sexual jaundice more common, with malignant tumor and liver cirrhosis based. Male patients with hepatocellular jaundice more common in patients with liver cancer mainly female patients with hemolytic jaundice more common to cholangiocarcinoma.