本文对五所医院收治的重型病毒性肝炎102例进行综合分析,其中急性型29例,亚急性型73例。对临床症状、体征及实验室检查结果进行了统计分析。主要合并症有肝昏迷、原发性腹膜炎、肝肾综合征、消化道出血及脑水肿等。常规基础治疗加用复方支链氨基酸对肝昏迷疗效较好。总结治疗结果,临床治愈30例、好转9例、恶化20例、死亡43例。文中对肝昏迷的发病机制及重型病毒性肝炎的治疗作了初步探讨。 In this paper, 102 cases of severe viral hepatitis treated in five hospitals were analyzed comprehensively, of which 29 cases were acute and 73 cases were subacute. The clinical symptoms, signs and laboratory tests conducted a statistical analysis. The main complications of hepatic coma, primary peritonitis, hepatorenal syndrome, gastrointestinal bleeding and cerebral edema. Conventional basic treatment plus compound BCAA has a good effect on hepatic coma. Summarize the results of treatment, clinical cure in 30 cases, improved in 9 cases, 20 cases of deterioration, 43 cases of death. In this paper, the pathogenesis of hepatic coma and the treatment of severe viral hepatitis were preliminarily discussed.