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为提高判断肝硬化病人预后的准确性作者根据其临床、生物学及组织学表现采用了一种新的预测值,氨基比林呼吸试验(ABT),并建立了一种新的个体预测方法。作者挑选了124名酒精性、HBsAg阳性或原因不明的肝硬化病人,其中115例经腹腔镜和/或肝活检证实,9例由临床生化和内镜检查证实患食管静脉曲张。腹部超声、食管、胃、十二指肠镜检查和2小时/ABT测定都作为入院72小时内进行的常规检查。在剔除有严重心肾病、肝癌、胆汁性肝硬化和入院72小时内死于
To improve the accuracy of predicting the prognosis of patients with cirrhosis, the authors used a new predictive value, the aminopyrine breath test (ABT), based on their clinical, biological, and histologic findings, and established a novel individual prediction approach. The authors selected 124 patients with alcoholic, HBsAg-positive or unexplained cirrhosis, of which 115 were confirmed by laparoscopy and / or liver biopsy, and 9 were confirmed by clinical biochemistry and endoscopy for esophageal varices. Abdominal ultrasound, esophagus, stomach, duodenoscopy, and 2-hour / ABT measurements were routinely performed within 72 hours of admission. In the absence of severe heart and kidney disease, liver cancer, biliary cirrhosis and died within 72 hours of admission