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目的 分析慢性重型肝炎生化指标与预后的关系。方法 使用SPASS及STATA软件将 30 2医院三年内收治的 5 2 0例重型肝炎患者的生化指标与预后进行分析。结果 有无酶胆分离 ,存活率分别为 18 6 %及4 7 1% ;TC <1 6mmol/L ,存活率 2 0 5 ,>1 6mmol/L ,存活率 4 3 8% % ;AST/ALT的比值不断升高 ,PTA、Buche及ALB的不断降低 ,存活率逐渐下降。结论 血清AST/ALT的比值、总胆红素、PTA、TC、Buche、及ALB是预测慢性重型肝炎预后的重要指标。动态检测这些指标可及时掌握病情变化 ,使病人得到及时的救治。
Objective To analyze the relationship between biochemical markers of chronic severe hepatitis and prognosis. Methods The biochemical indexes and prognosis of 520 patients with severe hepatitis admitted to the hospital in 30 2 hospitals were analyzed using SPASS and STATA software. The results showed that there was no enzyme-bile separation, the survival rates were 18 6% and 471% respectively; TC <16mmol / L, survival rate 20 05,> 16mmol / L and survival rate 43.38% The ratio of PTA, Buche and ALB kept decreasing, and the survival rate decreased gradually. Conclusions The serum AST / ALT ratio, total bilirubin, PTA, TC, Buche, and ALB are important predictors of the prognosis of chronic severe hepatitis. Dynamic detection of these indicators can promptly grasp the condition changes, so that patients receive timely treatment.