【摘要】 目的 研究肝硬化患者死亡与并发症的关系,改善预后。方法 分析230例肝硬化患者的年龄、病因、临床表现、并发症和常见死亡原因。结果 其中以50~59岁和40~49岁年龄组患者发病率高达33%、30．9%。病毒性肝炎后肝硬化166例(72%),血吸虫性肝硬化23例(5%)。并发上消化道出血28例(12%)，肝昏迷15例(6%)，感染29例(13%)，原发性肝癌16例占7%。230例患者中院内死亡25例,死亡率11%，死因中：上消化道大出血17例(34%)；肝昏迷13例，感染20例,占死亡病例80%。结论 预防和治疗肝硬化患者的并发症是提高肝硬化患者存活率的重要方法。
【关键词】肝硬化；临床分析；预后；并发症
Retrospectiveanalysis on clinic prognostic of 230 patients with hepatocirrhosis
LI Ke-jun,LI Shan,LU Mei-wu,et al.The Binhai County Hospital,Jiangsu224500,China
【Abstract】 Objective Retrospective observation the relation between the death and the complications on patients with hepatocirrhosis,and found the best way to improve their prognosis.Methods 230 cases with liver cirrhosis were studied,including the patients ages,pathogeny，clinic representation,complications and common causes of death.Results Incidence of patients between 50 to 59 years old were highest(33%),the next was group of 40 to 49 years old(30．9%).On the several kinds of pathogenies,the liver cirrhosis after virus hepatitis was on the first place(72%),cirrhosis after schistosome were 5%.Several kinds of complications were seen in these cases,such as infection(13%)，digestive system haemorrhage(12%)，cancer(7%),and so on.Digestive system haemorrhage was the most common cause of the death in the patients.Conclusion Preventions and treatment of the complications can improve the livability patients with liver cirrhosis.
【Key words】 Hepatocirrhosis;Clinical analysis； Prognosis;Complications
肝硬化是一种临床上常见的内科疾病,由一种或多种病因的长期或反复作用造成弥漫性肝脏损害,临床以肝功能损害及门脉高压为主要表现,晚期常出现多种严重并发症,并因此而死亡[1]。（剩余1464字）