军人肝病患者的临床与肝穿病理学特点研究

发布时间：2018-01-10 07:33

本文关键词：军人肝病患者的临床与肝穿病理学特点研究　出处：《解放军医学杂志》2012年06期 　论文类型：期刊论文

【摘要】：目的探讨军人肝病患者的流行病学、血清学、临床表现及肝穿组织病理学特点。方法对231例住院军人肝穿患者的年龄、性别、入伍地、兵种、职别、临床表现、实验室检查及肝穿组织病理学特点进行调查分析。结果 231例住院军人患者中,男202例,女29例,发病年龄18～73(29.7±9.1)岁,其中18～25岁年龄段所占比例(48.1%)较高,55岁以上所占比例(7.4%)较低。病毒感染性肝病占68.0%,其中战友间传染发病占14.0%,非感染性肝病占32.0%;慢性肝损伤占64.9%,急性肝损伤占35.1%;士兵占47.2%,干部占38.1%,士官占8.7%,其他占6.1%。结论军人肝病患者平均发病年龄较低,以18～25岁为主;士兵所占比例高于干部;病毒性感染所致肝损伤、慢性肝损伤比例较高。对急性肝损伤应进行肝穿病理诊断并及时采取治疗措施,以防止病程慢性化。
[Abstract]:Objective to investigate the epidemiology, serology, clinical manifestations and histopathological features of liver diseases in servicemen. The clinical manifestations, laboratory examination and histopathological features of liver puncture were investigated and analyzed. Results among 231 military patients, 202 were male and 29 were female. The age of onset was 29.7 卤9.1 years old, of which the proportion of 1825 years old was 48.1%. Viral infectious liver disease accounted for 68.0%, in which the infection rate among comrades was 14.0 and non-infectious liver disease accounted for 32.0. Chronic liver injury was 64.9, acute liver injury was 35.1; Soldiers accounted for 47.2%, cadres for 38.1%, petty officers for 8.7 and others for 6.1. Conclusion the average age of onset of liver diseases in servicemen is lower, mainly 1825 years old. The proportion of soldiers is higher than that of cadres; The rate of liver injury caused by viral infection is higher than that of chronic liver injury. In order to prevent the chronic course of disease, the pathological diagnosis of acute liver injury should be made and the treatment should be taken in time.
【作者单位】：解放军302医院肝移植中心;解放军302医院病理科;解放军302医院军人肝病诊疗中心;
【分类号】：R82
【正文快照】： 我国军人多驻守在自然条件较差的地域,以集体生活为主,易出现感染性肝病的群体感染,但有关军人肝病的临床病理研究及流行病学调查目前鲜见报道[1-3]。本研究收集并分析了2002年1月-2010年6月于解放军302医院住院行肝穿的军人患者的病例资料,旨在探讨军人肝病患者的临床及病理

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