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目的 :分析酒精性肝硬化的临床特点。方法 :以 1990年 1月～ 1999年 3月间在我院住院的 45 8例肝炎后肝硬化为对照 ,对同期住院的 6 7例酒精性肝硬化进行了分析。结果 :酒精性和肝炎后肝硬化的主要症状均为腹胀、纳差、乏力 ,两者之间没有差异 :与肝炎后肝硬化相比 ,酒精性肝硬化的蜘蛛痣、肝掌、男性乳房发育、肝大是非常常见的 ,两者之间黄疸、腹水、脾大的发生情况没有差异 :酒精性肝硬化的AST/ALT、γ GT、ALP明显高于肝炎后肝硬化 ,两者之间A/G、TBil没有差异。结论 :蜘蛛痣、肝掌、男性乳房发育、肝大的发生情况以及AST/ALT、γ GT、ALP的检查有助于酒精性肝硬化和肝炎后肝硬化的鉴别。
Objective: To analyze the clinical features of alcoholic cirrhosis. Methods: A total of 458 posthepatitic cirrhosis patients admitted to our hospital from January 1990 to March 1999 were enrolled in this study, and 67 hospitalized patients with alcoholic cirrhosis were analyzed. Results: The main symptoms of alcoholic and posthepatitic cirrhosis were abdominal distension, anorexia, and fatigue, with no difference between them: spider nevus of alcoholic cirrhosis, hepatopancreas, and male breast development compared with posthepatitic cirrhosis , Liver is very common, there is no difference between the two jaundice, ascites, splenomegaly: alcoholic cirrhosis AST / ALT, γ GT, ALP was significantly higher than hepatitis cirrhosis, between the two A / G, TBil no difference. Conclusion: The spider nevus, liver palms, male breast development, hepatomegaly and AST / ALT, γ GT, ALP examination are helpful for the identification of alcoholic cirrhosis and posthepatitic cirrhosis.