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对106例各种肝脏疾病合并腹泻的住院病人资料进行总结和分析。结果:(1)各种肝脏疾病中,肝源性腹泻发生率由高到低依次为:各型肝硬化(64.15%)、慢性乙型病毒性肝炎(18.87%)、原发性肝癌(11.32%)、脂肪肝(3.77%)和药物性肝病(1.89%),其临床表现无特征性;(2)腹泻发生在肝病早期的较少,大多出现在肝病的中后期;(3)腹泻的严重程度与肝功能密切相关。早期诊断和改善肝功能是治疗肝源性腹泻的关键。
The data of 106 inpatients with various liver diseases and diarrhea were summarized and analyzed. Results: (1) The incidence of liver-derived diarrhea varied from high to low in all kinds of liver diseases: cirrhosis (64.15%), chronic hepatitis B (18.87%) and primary liver cancer (11.32 (3%), fatty liver (3.77%) and drug-induced liver disease (1.89%). The clinical manifestations are characteristic. (2) The incidence of diarrhea in the early stage of liver disease is less, mostly in the middle and late stage of liver disease. Severity and liver function are closely related. Early diagnosis and improvement of liver function is the key to the treatment of liver-derived diarrhea.