Analysis On The Complications Of 120 Cases With Viral Hepatitis Related Cirrhosis

Objective:To study the incidence and related factors of common complications of viral hepatitis related cirrhosis, and the effects of these complications on the patients with viral hepatitis related cirrhosis. Methods:Analyzing the patients' gender, age, history of hepatitis, Child-pugh grade, and incidence of some common complications of cirrhosis, including: fluid and electrolyte turbulence, infection, gastrointestinal hemorrhage, primary carcinoma of the liver, hepatic encephalopathy, hepatorenal syndrome, cholelithiasis, pleural effusion, portalhypertensive gastritis; According to whether they were complicated with fluid and electrolyte turbulence, infection, gastrointestinal hemorrhage, primary carcinoma of the liver, hepatic encephalopathy, hepatorenal syndrome, cholelithiasis, pleural effusion, portal hypertensive gastritis,ascites , the patients were divided into positive groups and negative groups . We use Chi-squared test to explore the interrelationship of these factors and the effects of these factors on patients with viral hepatitis related cirrhosis. We use t test to explore the relationship between pleural effusion and concentration of albumin, globulin and sodium in serum, and to explore the influence of fluid and electrolyte turbulence on these patients' mortality. Results:1. The incidence of pleural effusion between groups of ascites, hyponatremia, hypoalbuminemia and that of negative groups had significant difference.2. The incidence of infection between groups of ascites, over 60-year age and negative groups had significant difference. The difference between the incidence of infection of groups of Child-pugh class B, C and groups of class A was significant.3. The difference between incidence of cholelithiaswas of groups of Child-pugh class B, C and that of group of class A was significant. The incidence of cholelithiasis between patients with viral hepatitis related cirrhosis and the patients without it had significant difference .4. The incidence of gastrointestinal hemorrhage between groups of esophageal and gastric varices ascites, portal hypertensive gastritis and negative groups had significant difference.5. The difference between incidence of portal hypertensive gastritis of groups of esophageal and that of gastric varices was significant. The difference between the incidence of portal hypertensive gastritis of groups of Child-pugh class B, C and that of group of class A was significant.6. The incidences of hepatic encephalopathy between groups of gastrointestinal hemorrhage, hepatorenal syndrome, hyponatremia, infection and negative groups had significant difference. The difference between the incidence of hepatic encephalopathy of group of Child-pugh class B and that of group of class C was significant.7. The incidence of hepatorenal syndrome between groups of gastrointestinal hemorrhage, hyponatremia, infection and negative group had significant difference. The difference between the incidence of hepatorenal syndrome of group of Child-pugh class A and that of group of class C was significant.8. The difference between the mortality of groups of gastrointestinal hemorrhage, hyponatremia, infection, primary carcinoma of the liver, hypokalemia, hypochloremia, hepatorenal syndrome and that of negative groups was significant.Conclusion:1. Patients with viral hepatitis related cirrhosis tended to be complicated with pleural effusion, especially when the patients were complicated with ascites,hyponatremia, hypoalbuminemia.2. The incidence of infection of patients with viral hepatitis related cirrhosis increased.and along with the decline of liver function of these patients, the incidence of infection increased.3. The incidence of cholelithiasis in patients with viral hepatitis related cirrhosisincreased, especially when these patients' liver function declined.4. Patients with viral hepatitis related cirrhosis tended to be complicated with gastr...