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Rev. méd. Maule ; 37(2): 15-22, dic. 2022. tab
Article Dans Espagnol | LILACS | ID: biblio-1427715

Résumé

Alcoholic Hepatitis (HA) represent to one of the pathological entities in the context of liver damage associated with excessive and prolonged alcohol consumption. Despite its high mortality, making the early diagnosis is still a challenge for physicians. The local information of this pathology is limited, so this work consists of conducting a retrospective study on the clinical and epidemiological characteristics of patients diagnosed with HA at the Regional Hospital of Talca (HRT); in order to make available to the treating doctors, the greatest amount of data contributing to decision-making for the benefit of patients. Methods: The clinical records of all patients discharged from the HRT with a diagnosis of HA during the period between January 2017 and August 2022 were reviewed. Background information such as: chief complaint, main symptoms, comorbidities, laboratory tests, treatment, evolution and survival, etc., was collected for analysis and to obtain the conclusions presented. Results: A total of 16 patients were studied; 93.75 % were male and 6.24 % female; with a mean age of 52. Of the patients, 87.5 % had a history of DHC. All had alcohol abuse for more than 5 years and 93.75% had active alcoholism. The most frequent laboratory findings included hyperbilirubinaemia (93.75 %), GOT/GPT ratio >2 (50 %) and leukocytosis (56.25 %). Of the total patients studied, 68.75% had a survival of more than 1 year after the event, while 12.5% died during hospitalisation.


Sujets)
Humains , Mâle , Femelle , Adulte , Adulte d'âge moyen , Hépatite alcoolique/diagnostic , Hépatite alcoolique/sang , Comorbidité , Études rétrospectives , Espèces réactives de l'oxygène/sang , Hormones corticosurrénaliennes , Médiateurs de l'inflammation/sang , Techniques de laboratoire clinique , Hépatite alcoolique/thérapie , Hépatite alcoolique/épidémiologie
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