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急性重症肝炎,目前尚无满意疗法,死亡率很高。就我院抢救成功3例,略谈体会。典型病例女患,30岁。1981年12月6日,因头晕黄疸2日入院。查体:皮肤中度黄染,心肺未见异常,肝触及边,脾未触及,腹水征(—)。化验:黄疸指数50u,凡登白试验直接迅速反应,GPT360 u,HBs Ag(+)TTT14 u,ZnTT16 u,碘反应(++),TP6 g,G3.5 g,A2.5 g。诊断:急性乙型病毒性肝炎,住院3日,黄疸加重,呕吐频繁,深昏迷。立即吸氧,静滴10%葡萄糖1,000ml/日,生理盐水300ml/日,氯化钾3g/日,维生素 C2g/日,维生素 B(?)100mg/日,地塞米松20 mg/日,654—210mg/日。输鲜血300ml。肌注维生素 B_1100mg/日,维生素 K_316mg/日,鼻饲新霉素
Acute severe hepatitis, there is no satisfactory treatment, the mortality rate is high. Rescue success in our hospital in 3 cases, a little talk about experience. Female patient, 30 years old. December 6, 1981, admitted to hospital for dizziness jaundice on the 2nd. Examination: moderate yellowish skin, no abnormal heart and lung, liver touched the side, spleen not touched, signs of ascites (-). Laboratory: Jaundice index 50u, Vandenbai test direct and rapid response, GPT360 u, HBs Ag (+) TTT14 u, ZnTT16 u, iodine reaction (++), TP6 g, G3.5 g, A2.5 g. Diagnosis: Acute hepatitis B, hospitalization 3, jaundice increased, frequent vomiting, deep coma. Immediate oxygen inhalation, intravenous infusion of 10% dextrose 1,000ml / day, saline 300ml / day, potassium chloride 3g / day, vitamin C2g / day, vitamin B 100mg / day, dexamethasone 20mg / day 654 -210 mg / day. Blood 300ml. Intramuscular injection of vitamin B_1100mg / day, vitamin K_316mg / day, nasal feeding neomycin