论文部分内容阅读
目的：了解老年肝硬化的临床特点。方法：总结三年来临床收治的６０岁以上的肝硬化患者８２例，与同期收治的５９岁以下的肝硬化６１例进行对照分析。结果：ＨＢＶＭ检测结果老年组阳性率占８２９３％，对照组阳性率占７８６９％。老年组ＡＬＴ升高者少，抗—ＨＢｅ阳性率高，与对照组比较有显著差异（Ｐ＜０．０５～０．０１）；老年组黄疸、肝性脑病、肝性肾病和电解质紊乱发生率高于对照组，差异显著（Ｐ＜０．０５～０．０１）。两者死亡率差异不明显。结论：老年肝硬化症状较重，合并症应引起重视，病死率高。
Objective: To understand the clinical features of elderly patients with liver cirrhosis. Methods: To summarize 82 cases of cirrhosis patients over 60 years of age clinically treated in the past three years, and compared with 61 cases of cirrhosis under 59 years old treated in the same period. Results: The positive rate of HBVM in the elderly group was 8293%, while the positive rate in the control group was 7869%. Older patients with elevated ALT less, anti-HBe positive rate, compared with the control group were significantly different (P <0.05 ~ 0.01); elderly group of jaundice, hepatic encephalopathy, hepatic nephropathy and electrolyte imbalance Higher than the control group, the difference was significant (P <0.05 ~ 0.01). The difference between the two death rates is not obvious. Conclusion: The symptoms of senile cirrhosis are heavier. Comorbidity should be emphasized and the mortality rate should be high.