肝硬化为一消化系统的常见病,但仍有不少问题需要解决和研究。现将近年来有关文献及会议所论及的几个临床问题择要阐述如下: 一、肝硬化的病因: 1.病毒性肝炎中已知乙型肝炎病毒所致者最易导致肝硬化,但自1989年5月,美国Chiron协作组研究出丙型肝炎病毒抗原用以检测相应抗体(抗HCV)以后,已证实原先的非甲非乙型肝炎中半数以上为丙型肝炎,此种丙型肝炎也是导致肝硬化的原因。由于乙肝疫苗的接种日益普及,而丙型肝炎的病毒检测方法在我国尚不能广为应用,其疫苗仅在研究中,因而今后对丙型肝炎作为肝硬化病因的可能性方面,应有足够的估计,积极进行防治(如尽量避免不必要的输血、注射等)。 2.酒精性肝硬化的病例,已有日益增长的趋势。在进行肝硬化的病因防治中,对这一点我们需要重新认识。 3.随着检查技术的进步,由于血管病变而导 Cirrhosis is a common disease of the digestive system, but many problems still need to be solved and studied. Now in recent years, the literature and the meeting discussed several clinical issues to be described as follows: First, the etiology of cirrhosis: 1. Viral hepatitis is known to most likely caused by hepatitis B cirrhosis, but since May 1989, the United States Chiron collaborative group to study hepatitis C virus antigen to detect the corresponding antibody (anti-HCV), it has been confirmed that more than half of the original non-A non-B hepatitis C hepatitis, such hepatitis C It is also the cause of cirrhosis. Due to the increasing popularity of hepatitis B vaccination, and hepatitis C virus detection methods can not be widely used in our country, the vaccine is only in the study, so in the future as the possibility of hepatitis C as the cause of cirrhosis should be sufficient It is estimated that active prevention and treatment (such as avoiding unnecessary blood transfusion, injection, etc.). 2. cases of alcoholic cirrhosis, there has been a growing trend. In the prevention and treatment of cirrhosis of the etiology, we need to re-understand this point. 3. As the inspection technology advances, due to vascular lesions and guidance