To improve the comprehension on the alcoholic liver cirrhosis at high altitude area, 91 cases of high altitude native Tibetans(HANT) with alcoholic liver cirrhosis were analyzed retrospectively. The results showed that among all kinds of liver cirrhosis, the incidence of alcoholic liver cirrhosis in HANT was about 42 3%. The mean quantity of wine drunk by them was 4601 7g qingke wine and beer, together with 607 8g white wine. The time between first drinking wine to first hospital ization was 21 1 years. All the patients had anorexia, dyspepsia and vague pain at right hypochondrium, but no spider angioma and spleen enlargement appeared. The incidence of hepatic encephalopathy was 30 8%. Clinical recovery was achieved in 96 7% the patients. The results suggested that the incidence of alcoholic liver cirrhosis in HANT is significantly higher than that of plain area people. The mean quantity of wine consumed by HANT is significantly larger than that by plain area people, btut their onset time of liver cirrhosis is much longer than that of plain area people. The incidences of some symptoms are higher than reported, and no spider angioma and spleen enlargement could be found. The incidence of hepatic encephalopathy in HANT is high, but its clinical recovery rate is also high.