重症病毒性肝炎死亡率极高,一般在90%以上。近年来,由于早期诊断,加强护理与中西医结合治疗,多数医院的抢救成活率明显提高,但总的来说仍不满意。认真研究国内外抢救重症肝炎的经验,进一步提高抢救成活率,具有重要意义。本文结合自己的实践,对目前国内治疗重症肝炎的临床经验加以综述。重症肝炎分型按1978年杭州会议规定。一、基础治疗(一)能量补充饥饿时,肝为血糖供应来源,由于肝损害严重,仅低血糖就能产生包括谵妄、精神错乱、抽搐、局部神经体征、去大脑强直和昏迷等一系列神经症状。所以,要适应病人口味尽力调节饮食,以营养丰富、容易消化的食物,给机体补充足够的热量(每日需要1,600卡以上)。对完全不能口服者,可通过胃管或深静脉给予高能营养。静 Severe viral hepatitis mortality is extremely high, generally over 90%. In recent years, due to early diagnosis, intensive care and Integrative Medicine treatment, the survival rate of most hospitals was significantly improved, but in general still not satisfied. It is of great significance to conscientiously study the experience of rescuing severe hepatitis at home and abroad and to further improve the survival rate of rescue. This article, combined with my own practice, summarizes the current clinical experience in the treatment of severe hepatitis in China. Severe hepatitis typing according to the provisions of the Hangzhou meeting in 1978. First, the basic treatment (A) the energy of hunger, the liver is the source of blood glucose supply, due to severe liver damage, only hypoglycemia can produce, including delirium, confusion, convulsions, local neurological signs, to brain rigidity and coma and a series of nerves symptom. Therefore, to adapt to the patient’s tastes try to regulate diet, nutrient-rich, easily digestible food, to the body to add enough calories (daily needs more than 1,600 cards). For those who can not be orally, they can be given high-energy nutrition by stomach tube or deep vein. Static