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本文报告了34例经病理检查证实的慢性活动性肝炎(CAH)。16例由病毒感染引起,5例由药物引起,13例原因不明。CAH的临床表现多样化,诊断常很困难。本组22例有程度不等的发热,其中19例为持续性或间断性高热;除5例外,其余病例之高热,考虑与CAH有关。本组18例脾大中的12例合并脾亢,其中4例,只有脾大和脾亢,而无门脉高压迹象。13例死亡,4例为死后确诊。对CAH的肝外表现、病理变化、诊断标准及治疗等问题做了讨论。
This article reports 34 cases of pathologically confirmed chronic active hepatitis (CAH). Sixteen were caused by a viral infection, five were caused by the drug and 13 were unknown. The clinical manifestations of CAH diversification, diagnosis is often difficult. The group of 22 patients with varying degrees of fever, of which 19 cases of persistent or intermittent high fever; in addition to 5 cases, the remaining cases of high fever, consider the CAH. The group of 18 cases of splenomegaly in 12 cases with hypersplenism, of which 4 cases, only splenomegaly and hypersplenism, and no signs of portal hypertension. Thirteen died and four died. The extrahepatic manifestations, pathological changes, diagnostic criteria and treatment of CAH were discussed.