经组织学证实的64名脂肪肝患者中,最常见的病因为嗜酒,其次为糖尿病。其中1/3病人曾被误诊为慢性肝炎。临床上以非特异性消化道症状和肝肿大最为常见,多数病人有类似慢性肝炎的轻度肝功异常,其中以转氨酶和甘油三脂异常最常见。仅14%病人HBsAg(+)。肝区痛、黄疸、SGPT及胆固醇异常以重症病人发生率高。酒精性脂肪肝的MCV、SGOT/SGPT比例和血清γ-GT较高。免疫组化技术发现酒精性与非酒精性 Of the 64 patients with histologically confirmed fatty liver, the most common cause is alcohol abuse, followed by diabetes. One third of patients have been misdiagnosed as chronic hepatitis. Clinical non-specific gastrointestinal symptoms and hepatomegaly most common, most patients with mild liver dysfunction similar to chronic hepatitis, of which the most common aminotransferase and triglyceride abnormalities. Only 14% of patients had HBsAg (+). Hepatic area pain, jaundice, SGPT and cholesterol abnormalities with a high incidence of critically ill patients. Alcoholic fatty liver MCV, SGOT / SGPT ratio and serum γ-GT higher. Immunohistochemistry found that alcohol and non-alcoholic