天津医药

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亚急性肝衰竭贫血发生的临床特征及意义

于万有   

  1. 天津市第二人民医院、天津市肝病医学研究所
  • 收稿日期:2012-07-02 修回日期:2012-12-04 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 于万有

  • Received:2012-07-02 Revised:2012-12-04 Published:2013-04-15 Online:2013-04-15

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摘要： 摘要 目的：探讨亚急性肝衰竭贫血的发生及其与病情轻重及预后的关系。方法：回顾性分析1995年10月～2011年5月我院187例亚急性肝衰竭病人贫血发生的影响因素及其与病情、预后关系的资料。结果：187例患者中发生贫血者127例（67.9%），贫血的发生与营养不良、反复出血及病情轻重明显相关，发生贫血者合并感染及病死率均增加，而且恢复期早期肝硬化和肝硬化的发生率也增加。结论：贫血是亚急性肝衰竭的并发症之一，与病情的轻重明显相关，并影响预后，预防和治疗贫血是亚急性肝衰竭治疗的重要环节。

关键词: 亚急性肝衰竭, 贫血, 临床特征

Abstract: Abstract Objective：To investigate the correlation between the presence of anemia in patients with subacute liver failure and the severity and prognosis of this disease. Me?thods：One hundred and eighty-seven inpatients with subacute liver failure from October 1995 to May 2011 were included in the study, and the influence factors and the correlation of these factors with the severity and prognosis of subacute liver failure were retrospectively analyzed. Results：One hundred and twenty-seven patients (67.9%) were diagnosed with ane?mia. The presence of anemia was signifi?cantly correlated with malnutrition, repeated variceal bleeding and the severity of sub?acute liver failure. Anemia increased the risk rate of infection, mortality, and the presence of early-stage liver cirrhosis in the recovery period. Conclusion：Anemia is one of the complications of subacute liver failure, and it is significantly corre?lated with the severity of this disease, influencing the prognosis. The prevention and treatment of anemia is an important link in the treatment of sub?acute liver failure.

Key words: subacute liver failure, anemia, clinical features