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近年来重症肝炎(以下简称重肝)病死率虽有所降低,但仍相当高,严重威协患者生命。重肝在发病早期与普通型肝炎往往不易区别,目前临床上尚缺乏区分这两种类型的可靠指标。有不少学者从临床、病理等方面进行了研究。本文对30例重肝实验室结果进行分析,以探讨重肝的早期诊断、病情及预后判定。一般资料分析病例来源为1985年6月至1986年6月收治的重肝病人30例,符合第三届全国病毒性肝炎防治方案诊断标准。其中亚急性重肝12例死亡5例,慢性重肝18例死亡13例;乙肝27例、甲肝1例、未定型2例;男性27例,女性3例,年龄16～76岁,平均38岁。经肝穿证实诊断者有24例。
In recent years, severe hepatitis (hereinafter referred to as liver) mortality has been reduced, but still quite high, serious Wei Association patients’ lives. In the early onset of severe hepatitis and common hepatitis is often not easy to distinguish, the current clinical lack of distinction between these two types of reliable indicators. Many scholars from the clinical, pathological and other aspects of the study. In this paper, 30 cases of severe liver laboratory results were analyzed in order to explore the early diagnosis of severe liver disease and prognosis. General data analysis of the source of the cases from June 1985 to June 1986 admitted to the 30 cases of severe hepatitis patients, in line with the third national diagnostic criteria for viral hepatitis prevention and treatment programs. Among them, 12 cases were subacute severe hepatitis and 5 cases were chronic severe hepatitis and 18 cases were chronic severe hepatitis. Among them, 27 cases were hepatitis B, 1 case was hepatitis A and 2 cases were undetermined. There were 27 males and 3 females, aged from 16 to 76 years . Transurethral proven diagnosis of 24 patients.