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目的:总结慢性重型肝炎的诊断、治疗及预后,减少其死亡率。方法:回顾性分析38例慢性重型肝炎的临床资料。结果:38例慢性重型肝炎无肝病史者9例;有肝炎肝硬化病史者29例,其中2例为胆囊切除手术后出现重型肝炎。本组病例死亡率52.6%。结论:重视肝病患者定期体检,预防重型肝炎发生。一旦出现慢性重型肝炎注意消化道出血、肝肾综合征、肝性脑病等并发症发生,提高其治愈率。
Objective: To summarize the diagnosis, treatment and prognosis of chronic severe hepatitis and reduce its mortality. Methods: A retrospective analysis of 38 cases of chronic severe hepatitis clinical data. Results: There were 9 cases of chronic severe hepatitis with no history of liver disease, 29 cases of history of hepatitis and cirrhosis, and 2 cases of severe hepatitis after cholecystectomy. The case fatality rate of 52.6%. Conclusion: Pay attention to the regular medical examination of patients with liver diseases and prevent the occurrence of severe hepatitis. In the event of chronic severe hepatitis pay attention to gastrointestinal bleeding, hepatorenal syndrome, hepatic encephalopathy and other complications occur, improve its cure rate.