我院于1982～1987年,共收治重症乙型病毒性肝炎76例,死亡49例。按照1984年南宁会议的诊断分型标准,此49例中急性重症肝炎(急重肝)9例,亚急性重症肝炎(亚重肝)40例。临床诊断为亚重肝的患者中11例做了尸体解剖,发现5例有急性出血坏死性胰腺炎。 临床资料 5例均为男性,年龄23～59岁,平均39.8岁,2例死亡前5 d及3 d起有中上腹部持续性隐痛,阵发性加刷,局部有肌卫、压痛及反跳痛。5例均有不同程度的发热, Our hospital from 1982 to 1987, were treated 76 cases of severe hepatitis B, 49 cases of death. According to the diagnostic criteria of Nanning Conference in 1984, there were 9 cases of acute severe hepatitis (acute severe hepatitis) and 40 cases of subacute severe hepatitis (sub-heavy liver) in 49 cases. Eleven patients with clinically diagnosed subhepatic lesions were necropsied and 5 were found to have acute hemorrhagic necrotizing pancreatitis. Clinical data of 5 cases were male, aged 23 to 59 years old, average 39.8 years old, 2 cases before d 5 d and 3 d have persistent pain in the middle and upper abdomen, paroxysmal brushing, local Wei, tenderness and anti Jump pain. 5 cases have different degrees of fever,