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门脉性肝硬化的预后与致病因素、临床表现、合并症及治疗方法等有密切的关系。我们曾将天津医学院附属医院内科12年来(1947~1959)住院的门脉性肝硬化病例,于1963年4~5月间作了一次随访,并根据随访后有最后结果者(知其已经死亡或知其截止1963年4月的情况)255例进行分析,以探讨其预后与几项主要临床表现之关系。本组病例,男性182例,女性73例,男性为女性之2.49倍。入院时之年龄,最幼者12岁,最长者67岁。12~19岁者11例,20~29岁者31例,30~39岁者55例,40~49岁者80例,50~59岁者59例,60岁以上者19例。这些病例,均未经外科手术治疗。诊断标准,主要根据临床表现。具有腹水者207例,为全部病例的81.1%;大量消化道出血者135例,占52.9%;有肝昏迷者111例,占43.5%;有黄疸者84例,占32.9%。据此看
The prognosis of portal cirrhosis and pathogenic factors, clinical manifestations, complications and treatment methods are closely related. We have a case of portal venous cirrhosis hospitalized in Tianjin Medical College Hospital for 12 years (1947 ~ 1959), from April to May 1963 a follow-up, and according to the final results after follow-up (known to have died Or until April 1963, as of April 1963), 255 cases were analyzed to explore the relationship between their prognosis and several major clinical manifestations. The group of patients, 182 males and 73 females, 2.49 times the number of females. Admission age, the youngest 12 years old, the oldest 67 years old. 11 to 12-19 years old, 31 cases from 20 to 29 years old, 55 cases from 30 to 39 years old, 80 cases from 40 to 49 years old, 59 cases from 50 to 59 years old and 19 cases over 60 years old. None of these cases were surgically treated. Diagnostic criteria, mainly based on clinical manifestations. There were 207 cases of ascites, accounting for 81.1% of all cases; 135 cases of gastrointestinal bleeding were large, accounting for 52.9%; 111 cases of hepatic coma, accounting for 43.5%; 84 cases of jaundice, accounting for 32.9%. According to this look