Objective To study the risk factors of liver disease death and liver function grading. Methods The clinical data of 48 patients with liver disease who died in hospital from Jan. 2007 to Jun. 2010 were analyzed; liver disease complications and death causes were summarized. Results According to the liver function of Child-Pugh scores cases were graded: 6 cases in grade B,39 cases in grade C,3 cases were not graded because of lack of complete data. 40 cases were treated by drug; 6 cases were treated with tubes of three cavities and two capsules; 1 case was treated with variceal ligation; 1 case was treated with both of the above mentioned two methods. 20 cases died of massive upper gastrointestinal bleeding. 13 cases died of hepatic encephalopathy. Conclusion Liver cirrhosis is the first cause of death of liver disease, followed by liver cancer. The patients who have high Child-Pugh scores and complicated upper gastrointestinal bleeding and hepatic encephalopathy have a high mortality. Pure medicince treatment of upper gastrointestinal bleeding has a poor effect. Death caused by pulmonary embolism and heart complications should be alerted.%目的 探讨肝病死亡的原因及肝功能分级等情况.方法 对2007年1月至2010年6月我科48例肝病死亡患者的临床资料进行分析,统计肝病的并发症及死亡原因.结果 肝功能Child-Pugh分级:B级6例,C级39例,资料不全无法分级3例.内科药物治疗40例;使用三腔两囊管6例;食管曲张静脉套扎治疗1例;同时应用三腔两囊管和食管曲张静脉套扎1例.死于上消化道大出血20例;死于肝性脑病13例.结论 肝病死亡病例仍以肝硬化患者居首位,其次为原发性肝癌.肝功能分级差者,并发有消化道大出血和或肝性脑病者病死率很高.上消化道出血单纯内科治疗效果差.需警惕肺栓塞及心脏并发症致死.
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