Health reminder: alcoholic hepatitis refers to a liver disease caused by long-term excessive drinking, which is a problem that many men in modern society are easy to encounter. What are the clinical symptoms of alcoholic hepatitis?
1、 Symptoms
Before the onset of alcoholic hepatitis, there was a history of drinking a large amount of alcohol in a short period of time
Nausea and vomiting, abdominal pain, weight loss, fever and leukocytosis (mainly neutropenia) in some patients, which is similar to bacterial infection. Lischner analyzed 169 cases of alcoholic hepatitis, including 77% anorexia, 55% nausea and vomiting, 46% abdominal pain and 43% weight loss.
Among the 24 cases of alcoholic hepatitis in the Sino Japanese Friendship Hospital, the drinking years ranged from 8.5 to 41 years, with an average of 21 years. The average alcohol consumption was 117g / D (60-200g / D). According to the above pathological classification, 15 cases were mild, 6 cases were moderate and 3 cases were severe. There was no significant difference in the average duration of drinking and the average amount of alcohol consumed.
2、 Signs
It is characterized by jaundice, hepatomegaly and tenderness, and a few have splenomegaly, dark complexion, ascites, edema, spider nevus, etc. Ascites is obvious when liver function is not complete, some appear neuropsychiatric symptoms. Among 169 cases reported by lischner, hepatomegaly was 81%, jaundice was 77%, ascites was 59%, fever was 56%, malnutrition was 55%, upper gastrointestinal bleeding was 22%, esophageal varices was 12%, and mental symptoms were 10%. Among the 24 cases in Sino Japanese Friendship Hospital, 58% were hepatomegaly, 50% were drunkard, 46% were liver palms, 46% were emaciated, 38% were spider nevus, 33% were jaundice, 21% were splenomegaly, 12.5% ascites were ascites, 1 case was esophageal varices, 2 cases were esophageal veins exposure, 1 case was fever, 38.1 degree centigrade. It is reported in the literature that most of the febrile patients returned to normal within a few days after they stopped drinking, but some patients had fever for 4 weeks.
As for the relationship between ALT, ALT and alt, the level of ALT was increased from 72% to 60% in severe and severe hepatitis. Clinical signs: fatigue, liver pain, sexual dysfunction, impotence, hepatomegaly (36% - 71% of mild alcoholic hepatitis, 2 / 3 of moderate hepatomegaly, and all severe hepatomegaly) can also be referred to.
All of these examinations are nonspecific. Therefore, it is not accurate to distinguish light, medium and severe cases only by the presence or absence of the above non-specific changes. If possible, liver biopsy should be performed to help determine the severity.