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肝硬化病人可有AFP升高,常与肝癌特别是肝硬化合并肝癌相混。本文拟就肝硬化时AFP的变化及其意义加以探讨。资料和方法本文资料取自1977—1981年167例肝硬化住院患者。诊断主要根据门脉高压征象、肝功损害证据、肝脏质硬或缩小的物理体征及有关辅助检查,并经临床及AFP、酶谱、肝扫描等排除合并肝癌的病例。对出院时AFP仍高的19例肝硬化患者,于出院后半年至三年中作了随访,去除了肝癌病例,仅选择较可靠的5例归
Patients with cirrhosis may have elevated AFP, often with liver cancer, especially cirrhosis and liver cancer mixed phase. This article intends to AFP changes in liver cirrhosis and its significance to be explored. Materials and Methods The data in this article were taken from 167 hospitalized cirrhotic patients from 1977 to 1981. Diagnosis mainly based on signs of portal hypertension, evidence of liver damage, physical hardening of the liver or reduced physical signs and related auxiliary examination, and clinical and AFP, zymography, liver scan and other cases of patients with liver cancer. Nineteen patients with cirrhosis who were still high on discharge from hospital were followed up for six months to three years after discharge, and the cases of liver cancer were removed. Only 5 more reliable cases were selected