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重症肝炎可以分为急性及亚急性,急性重症肝炎相当于暴发性肝炎,近年来国外采用活性炭灌洗及聚丙烯腈膜透析,病死率已降至50％以下。亚急性重症肝炎又称为亚急性肝衰竭,病理上呈大块或亚大块坏死,伴有不同程度的肝细胞及纤维组织再生,病程较长,内环境平衡严重紊乱,人工肝支持疗法不能改善预后,病死率仍达80～90％。近3年来我们采取综合疗法治疗亚急性重症肝炎24例,试图恢复其内环境的平衡,使存活率有所提高;兹将结果报导于后。
Severe hepatitis can be divided into acute and subacute, acute severe hepatitis equivalent to fulminant hepatitis, in recent years abroad using activated carbon lavage and dialysis polyacrylonitrile, mortality has dropped below 50%. Subacute severe hepatitis, also known as subacute hepatic failure, pathologically was a large or sub-block necrosis, accompanied by varying degrees of regeneration of liver cells and fibrous tissue, a longer duration, serious imbalance of the internal environment, artificial liver support therapy can not Improve the prognosis, mortality still reached 80 ~ 90%. In the past three years, we have taken comprehensive treatment of 24 cases of sub-acute severe hepatitis in an attempt to restore the balance of their internal environment, so that the survival rate has improved; hereby report the results.