老婆的肝病全程转播（不断更新中），供肝友借鉴与指导 - 肝胆相照论坛

一颗小石头发表于 2010-9-10 17:57
胆胰磁共振是干什么用的？我上次CT也是肝门淋巴肿大！。。。。。

liver411 发表于 2010-10-24 12:47
III AIH通常是所有自身免疫抗体都阴性，但是具有所有I AIH的症状。III型对于激素等治疗效果与I型一样。Anti ...

三水蓝发表于 2010-10-24 22:04
有的医生说自身免疫性肝硬化用激素治疗是有效果，但很容易诱发大出血，这是真的吗？对于自身免疫性肝 ...

[url=]Gastroenterology.[/url] 1981 Nov;81(5):944-52.

Aspects of the natural history of gastrointestinal bleeding in cirrhosis and the effect of prednisone.
Christensen E, Fauerholdt L, Schlichting P, Juhl E, Poulsen H, Tygstrup N.

AbstractThe natural history of gastrointestinal bleeding in cirrhosis has been studied using prospectively collected data of 532 patients included in a randomized clinical trial with a regular follow-up of up to 12 yr. Of the total 199 patients who experienced gastrointestinal bleeding, 95 (48%) bled from esophageal or gastric varices, 67 (34%) bled from peptic ulcer or gastritis, and 37 (18%) had either insufficient evidence of the source (33) or mixed sources (4). In the total group of patients the cumulative percentage of patients in whom varices had been demonstrated of patients in whom varices had been demonstrated by radiography increased from 12 to 90 in 10 yr, while that of bleeding from varices increased from 7 to 40. In 104 patients who bled for the first time during the trial period (trial bleeding patients) the median number of bleeding episodes was one (range 1-8). In these patients the fatality from bleeding from varices was 82%. The risk of rebleeding from varices was 81%, and 4 yr after the first bleeding the cumulative survival had decreased to less than 10%. Rebleeding was significantly less frequent and survival significantly higher in patients bleeding from sources other than varices. Prednisone reduced the occurrence rate of varices, bleeding from varices, and death from bleeding varices in nonalcoholic females without ascites, 40% of whom fulfilled the histologic criteria of chronic active hepatitis. Prednisone significantly increased the occurrence rate of varices inpatient with ascites and of bleeding from varices in alcoholic patients. Prednisone significantly increased the occurrence rate of peptic ulcer in males and in patients without chronic active hepatitis.

PMID: 7026343 [PubMed - indexed for MEDLINE]