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本文对我院近年来收治的61例重肝病例的并发症及死亡原因进行分析。61例均根据1984年南宁全国病毒性肝炎会议制订的标准分型,分为急性重型11/61例,亚急性重型42/61例,慢性重型8/61例。其中30例于死后肝穿病理学检查证实。男性45例,女性16例,年龄84d～74岁。各型肝炎均有典型临床表现。实验室检查:61例谷丙转氨酶(GPT)及胆红质(SB)均有不同程度增高,GPT>500u(改良金氏法)占49.2%,SB>171μmol/L 占82%,平均284.4μmol/L,后期有胆酶分离39.3%,低蛋白血症占80.4%,HBsAg 阳性占58.0%,血小板低于90×10~9/L 占77.6%,凝血酶原
This article analyzes the complications and death causes of 61 cases of severe hepatitis treated in our hospital in recent years. 61 cases were based on the 1984 National Conference on the development of viral hepatitis standard classification, divided into acute heavy 11/61 cases, subacute heavy 42/61 cases, chronic severe 8/61 cases. Thirty of them were confirmed by liver biopsy after death. 45 males and 16 females, aged 84d ~ 74 years old. Each type of hepatitis has a typical clinical manifestations. Laboratory tests showed that 61 cases of GPT and SB increased to different extents, GPT> 500u (modified King's method) accounted for 49.2%, SB> 171μmol / L accounted for 82%, an average of 284.4μmol / L, late biliary enzyme separation 39.3%, hypoproteinemia 80.4%, HBsAg positive accounted for 58.0%, platelet less than 90 × 10 ~ 9 / L accounted for 77.6%, prothrombin