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对1991-1995年住院治疗死亡37例重症肝炎患者脑脊液进行检查,发现脑出血总发生率约为73%,其中呈 肉眼血性脑脊液者为32%。亚急性和慢性重症肝炎发生率高,尤其是前者,是肉眼血性脑脊液者,均因呼吸 衰竭而死亡。急性重症肝炎以镜下血性脑脊液占多数。结果表明脑出血是各型重症肝炎的常见并发症,是 致患者直接死亡的主要原因之一;脑出血发生与肝炎病毒类型和重叠感染与否无关,主要与临床类型有关。 最后对脑出血的治疗进行讨论。
Cerebrospinal fluid was examined in 37 patients with severe hepatitis who died of hospitalization during 1991-1995. The total incidence of cerebral hemorrhage was found to be about 73%, with 32% of those with CMH. The incidence of subacute and chronic severe hepatitis is high, especially in the former, which is caused by respiratory failure due to bloody cerebrospinal fluid. Acute severe hepatitis to mirror the majority of bloody cerebrospinal fluid. The results showed that intracerebral hemorrhage is a common complication of various types of severe hepatitis and one of the main causes of direct death in patients. The occurrence of cerebral hemorrhage has nothing to do with the type of hepatitis and overlap or infection, mainly related to clinical type. Finally, the treatment of cerebral hemorrhage is discussed.