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本文收集了两年间住院的老年肝炎45倒,其中急性肝炎42例,急性重症2例,亚急性重症1例,全部均有黄疸,半数以上为中度以上的黄疸。急性肝炎黄疸持续时间平均为38.3天,临床经过顺利,临床过程较先前报告的为好。3例重症肝炎中有2例是急性水肿性肝炎,另1例是亚急性肝坏死,他们全部死亡。而同期收治13例60岁以下的急性水肿性肝炎中存活6例,说明本年龄组的重症肝炎的预后极差。以 RPHA 法检测 HB_sAg,仅4例阳性。只有一例有输血史,推想在这一年龄组中的散发性的非甲非乙型肝炎是值得重视的问题。
This article collected 45 years of hospitalized aged hepatitis in two years, of which 42 cases of acute hepatitis, acute severe cases in 2 cases, subacute severe cases in 1 case, all with jaundice, more than half of moderate to severe jaundice. The average duration of acute hepatitis jaundice was 38.3 days, and the clinical course went well and the clinical course was better than previously reported. Two of the three cases of severe hepatitis were acute edematous hepatitis and the other was subacute hepatic necrosis, all of whom died. In the same period, 13 cases of acute edematous hepatitis under 60 years of age survived in 6 cases, indicating that the age group of patients with severe hepatitis prognosis is poor. HBHA detected by RPHA method, only 4 cases were positive. Only one case had a history of blood transfusions. The suggestion that sporadic non-A, non-B hepatitis in this age group is a problem worth attention.