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重症肝炎常见合并征是出血、感染,肝昏迷及肝肾综合征。合并重度心律失常文献资料极少,现总结4例报告如下: 临床资料一、一般资料:4例均为男性,年龄34～64岁。既往都有肝炎病史。此次复发均为高度黄疸、腹水、出血。2例有神志改变。乙肝标志物2例HBsAg、HBeAg、HBeAB(+);2例HBsAg、HBcAb(+)。肝病复发至心律失常发生27～50天。二、实验室检查血清总胆红素(TBIL)229.4～300.6μmol/L(病例1、2、3、4);凝血酶原活动度(PTA)38%～48%(例1、2、3);血钾1.4～2.0mmol/L(例2、3);6.4mmol/L(例4);血钙1.6
Common symptoms of severe hepatitis are bleeding, infection, hepatic coma and hepatorenal syndrome. The merger of severe arrhythmia literature rarely, are summarized in 4 cases are as follows: Clinical data First, the general information: 4 cases were men, aged 34 to 64 years. Past history of hepatitis. The recurrence is a high degree of jaundice, ascites, bleeding. 2 cases have conscious change. Hepatitis B markers 2 cases of HBsAg, HBeAg, HBeAB (+); 2 cases of HBsAg, HBcAb (+). Liver disease recurrence to arrhythmia occurs 27 to 50 days. Second, the laboratory test serum total bilirubin (TBIL) 229.4 ~ 300.6μmol / L (cases 1,2,3,4); prothrombin activity (PTA) 38% to 48% (examples 1,2,3 ); Serum potassium 1.4 ~ 2.0mmol / L (cases 2,3); 6.4mmol / L (Example 4);