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肝硬化为常见的消化系统疾患,本文收集本院自1958年至1979年经病理证实的肝硬化82例,现就其影响预后的有关因素分析如下。一、病型与预后本组82例中,坏死后性肝硬化51例,存活12例,死亡39例,存活率23.5%;门脉性肝硬化31例,存活13例,死亡18例,存活率41.9%。从两者自出现第一个症状后的时间计算,坏死后性肝硬化3年后的存活率仅49%(25/51),而门脉性肝硬化则为77.4%(24/31),两者存活率比较有显著差别(x~2=7.91P<0.005)。6年后的存活率,前者为31.4%(16/51),后者为61.3%,(19/31),两者存活率比较亦有显著差别(x~2=7.02 P<0.01)。由此可见,坏死后性肝硬化的预后不如门脉性肝硬化。
Liver cirrhosis is a common digestive system disorders, this collection of our hospital from 1958 to 1979 pathologically confirmed cirrhosis in 82 cases, the impact on prognosis of its related factors are as follows. First, the type and prognosis of 82 cases of this group, 51 cases of post-necrotic cirrhosis, 12 survived, 39 died, the survival rate of 23.5%; 31 cases of portal liver cirrhosis, 13 patients survived, 18 died, survived Rate of 41.9%. The survival rate after necrotic cirrhosis was only 49% (25/51) and 77.4% (24/31) for portal venous cirrhosis calculated from the time since the first symptom occurred. There was significant difference between the two survival rates (x ~ 2 = 7.91P <0.005). Six years after the survival rate, the former was 31.4% (16/51), the latter was 61.3%, (19/31), both survival rates were also significantly different (x ~ 2 = 7.02 P <0.01). Thus, the prognosis of post-necrotic cirrhosis is not as good as portal cirrhosis.