酒精性肝炎是严重型急性肝损伤,在医院死亡率高达65%。常规治疗是禁酒,纠正饮食不足,以及支持疗法。关于用皮质类固醇治疗酒精性肝炎的功效,对照研究结论不一。病人和方法 61例病人经肝活检证实为酒精性肝炎,或是自发性肝性脑病(n=19),或是辨别功能值高于32。辨别功能正常值为4.6[凝血酶原时间一对照时间(秒)+血清胆红素(μmol/L)/17]。57例病人活检示肝硬化。进行 Alcoholic hepatitis is a severe acute liver injury with a high hospital mortality rate of 65%. Routine treatment is forbidden alcohol, correct lack of diet, and supportive therapies. On the efficacy of treatment of alcoholic hepatitis with corticosteroids, control studies have different conclusions. PATIENTS AND METHODS Sixty-one patients were confirmed as having alcoholic hepatitis by liver biopsy, either with idiopathic hepatic encephalopathy (n = 19) or a functional value greater than 32. The normal function of discrimination was 4.6 [prothrombin time a control time (sec) + serum bilirubin (μmol / L) / 17]. 57 patients biopsy showed cirrhosis. get on