暴发型肝炎是病毒性肝炎的一种少见的类型,其死亡率非常高。公认的并发症有:胃肠道出血、肾功能衰竭、脑水肿、酸中毒和败血症。这些并发症可能与病人的死亡有关。并发急性胰腺炎者较少报告。在观察到一例青年男性暴发型肝炎并发急性出血性胰腺炎后,作者复习了另18例连续遇到的暴发型肝炎的临床和尸检资料,以图确定合并胰腺炎的发生率和临床表现。 Outbreak hepatitis is a rare type of viral hepatitis with a very high mortality rate. Recognized complications are: gastrointestinal bleeding, renal failure, cerebral edema, acidosis and sepsis. These complications may be related to the patient’s death. Complications of acute pancreatitis less reported. After observing a young male fulminant hepatitis complicated by acute hemorrhagic pancreatitis, the authors reviewed the clinical and autopsy data of another 18 consecutive fulminant hepatitis patients in order to determine the incidence of pancreatitis and clinical manifestations.