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本文报道经病理诊断12例酒精性肝硬化(AC)、8例酒精性肝炎(AH)、5例酒精性脂肪肝(AF)、1例轻度病理改变(MC)、3冽戒酒综合征(AWS)及1例急性酒精中毒(AI)的电解质与酸碱失衡分析结果,以AC、重症AH、AWS及AI表现显著,有不同程度低押、低钠、低氯、低钙、低磷及代酸与代酸呼碱的表现。与AF、轻度AH和MC比较显著差异(P<0.05)。1例AC与2例AWS曾检测血镁,表现有低血镁。5例AF及1例MC戒酒后完全恢复,6例AC与1例AH于继续酗酒后2~4年内死于肝衰竭、食管静脉曲张出血(EVB)与肝癌。戒酒为终身治疗,支持治疗辅之。治疗乙醇依赖与AWS及纠正盐代谢紊乱乃达到戒酒关键。
This article reports 12 pathological diagnosis of alcoholic cirrhosis (AC), 8 cases of alcoholic hepatitis (AH), 5 cases of alcoholic fatty liver disease (AF), 1 case of mild pathological changes (MC) (ACI), severe AH, AWS and AI, with different degrees of low charge, low sodium, low chlorine, low calcium and low phosphorus And the acid and acid acid base performance. Significantly different from AF, mild AH and MC (P <0.05). One case of AC and two cases of AWS had detected serum magnesium, showing hypomagnesemia. 5 cases of AF and 1 case of MC completely recovered after alcohol abstinence, 6 cases of AC and 1 case of AH died of liver failure, esophageal variceal bleeding (EVB) and liver cancer within 2 to 4 years after continuing alcohol abuse. Abstinence for life-long treatment, support for treatment supplemented. The key to alcohol abstinence is the treatment of alcohol dependence with AWS and the correction of salt metabolism disorders.