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Home > West Medicine > Surgery > Hepatobiliary Surgery
K70.100

Alcoholic Hepatitis

肝病

Common symptoms

重度黄疸、发烧、肝气犯胃、肝腹水、肝气犯脾、腹水、肝被膜紧张

The pathology of disease

Alcoholic hepatitis is acute hepatic inflammation in chronic alcohol users, presenting with jaundice, ascites, fever, and elevated transaminases, severe forms have high mortality. Treatment: complete abstinence; nutritional support; corticosteroids (prednisolone) for severe (Maddrey discriminant function >32 / MELD >20); pentoxifylline in selected; treat complications (ascites/encephalopathy/variceal bleeding/infection); ICU if multi-organ failure; early liver transplant evaluation for severe refractory; monitor for infection/hepatocellular carcinoma; follow-up.

Common Symptoms

Jaundice; ascites; fever; elevated transaminases; in chronic alcohol

Causes and Pathogenesis

Alcohol toxicity causes hepatic inflammation and necrosis.

Treatment

Abstinence; nutrition; corticosteroids for severe; treat complications; transplant eval

Preventive Measures

Limit alcohol; early treatment of fatty liver; nutrition.

Department to Visit

It is recommended to visit the Gastroenterology/Hepatology/Critical-care/Addiction-medicine department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.