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本文报告2例酒精性肝硬化基础上的缺血性肝炎,均继发于失血性休克和脓毒血症。方法和结果:八年中收治130例肝硬化性上消化道出血(UGIH)患者,其中酒精性肝硬化99例。入院时出血性休克44例(34％)。130例中2例出现缺血性肝炎。其诊断标准是:转氨酶活性增至正常上限(ULN)的20倍以上,凝血酶原时间延长,有相应钧临床表现,并排除肝坏死的其他原因。病例1:72岁,男性,酒精性肝硬化患者因出血性
This article reports 2 cases of alcoholic liver cirrhosis based on ischemic hepatitis, are secondary to hemorrhagic shock and sepsis. Methods and Results Eighty-three patients with cirrhosis of the upper digestive tract hemorrhage (UGIH) were enrolled in the study, of which 99 were alcoholic cirrhosis. Hemorrhagic shock was admitted to hospital in 44 cases (34%). Two of 130 patients developed ischemic hepatitis. The diagnostic criteria are: aminotransferase activity increased to 20 times the upper limit of normal (ULN) more than the prothrombin time, with appropriate clinical manifestations Jun, and rule out other causes of liver necrosis. Case 1: 72 years old, male, patients with alcoholic cirrhosis due to hemorrhagic