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我院自1984至1990年,抢救存活35例重症肝炎患者,并进行临床随访观察,提示重症肝炎虽然发病急病势凶险,如能度过肝功能衰竭期,预后仍属良好。兹将有关病例报告如下。临床资料本组病例均在极期入院。临床诊断按第六届全国病毒性肝炎会议重症肝炎诊断标准。35例中,男21例,女14例;年龄4～69岁;青壮年25例,占71.4%。9例行肝穿术(极期8例,恢复期1例)。病理证实急性重症肝炎1例,亚急性重症肝炎8例。8例急性重症肝炎(简称暴肝)出现肝昏迷Ⅱ°以上,27例亚急性重症肝炎(简称亚肝),意识障碍6例。ALT 及血
From 1984 to 1990, our hospital rescued and survived 35 patients with severe hepatitis, and clinical follow-up observation showed that although the incidence of severe hepatitis is potentially dangerous, such as can survive liver failure, the prognosis is still good. The relevant case report is as follows. Clinical data in this group of patients admitted in extreme condition. Clinical diagnosis according to the Sixth National Hepatitis Conference diagnosis of severe hepatitis diagnostic criteria. In 35 cases, there were 21 males and 14 females, aged from 4 to 69 years and 25 cases of young adults (71.4%). Nine patients underwent hepatic perfusion (8 in the period and 1 in the convalescence). Pathological confirmed acute severe hepatitis in 1 case, subacute severe hepatitis in 8 cases. 8 cases of acute severe hepatitis (referred to as liver) appeared hepatic coma Ⅱ ° above, 27 cases of subacute severe hepatitis (referred to as sub-liver), disturbance of consciousness in 6 cases. ALT and blood