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许多研究结果表明,血清胆汁酸含量测定对肝硬化的诊断比常规检验方法更为敏感,但对指示肝硬化预后有何价值,未见报导.本文对76例肝硬化患者随访一年,以比较临床和实验室检查以及Child分级与血清胆汁酸含量对肝硬化的预后意义.76例肝硬化(女性17例,男性59例),经肝活检和/或腹腔镜确诊,年龄为17～76岁(平均52.4岁).21例为肝炎后肝硬化,55例为酒精性肝硬化.将患者腹水程度分为无、轻度、中度及重度.用数字连接试验(NCT)将患者意识状态分为0～3级.营养状态分为良好、中等和差.食道静脉曲张按其大小分为0～3度.
Many studies have shown that the determination of serum bile acid is more sensitive than the routine test in the diagnosis of cirrhosis, but it has not been reported to indicate the prognosis of cirrhosis, and 76 patients with cirrhosis were followed up for one year to compare Clinical and laboratory tests, and the prognostic significance of Child classification and serum bile acid content in cirrhosis.76 cases of cirrhosis (17 female and 59 male) were diagnosed by liver biopsy and / or laparoscopy and were aged from 17 to 76 years (Average 52.4 years old), 21 cases of post-hepatitis cirrhosis and 55 cases of alcoholic liver cirrhosis.The degree of ascites in the patients was divided into no, mild, moderate and severe degree.According to the digital connection test (NCT) 0 to 3. Nutritional status is divided into good, medium and poor. Esophageal varices according to their size is divided into 0 to 3 degrees.