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目的:探讨肝硬化病人发热原因。方法:对组织学和临床诊断的肝硬化发热病人进行回顾性分析。结果:421例肝硬化病人中,172例伴发热,占40.9％。以各种感染为最多,共75例(43.6％),其他原因主要有结核性腹膜炎、慢性活动性肝炎、合并肝癌或其他癌症,消化道出血和未明原因发热(21例、12.2％)。住院期间死亡48例,同期住院不发热的肝硬化249例中死亡41例。结论:肝硬化病人发热原因较多,其中以感染最为常见,伴发热的肝硬化病人预后更差。
Objective: To investigate the causes of fever in cirrhotic patients. Methods: The histological and clinical diagnosis of cirrhosis patients were retrospectively analyzed. Results: Of 421 patients with cirrhosis, 172 had fever, accounting for 40.9%. Among them, 75 cases (43.6%) had the highest prevalence of various infections. The other causes were tuberculous peritonitis, chronic active hepatitis, hepatocellular carcinoma or other cancers, gastrointestinal bleeding and unexplained fever (21 cases, 12.2%). Forty-eight patients died during hospitalization and 41 patients died of 249 cirrhosis who did not have fever during the same period. Conclusion: There are many causes of liver fever in patients with cirrhosis, of which the most common infection, with fever in patients with liver cirrhosis worse prognosis.