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1964年1月~1983年2月,我科收治重症肝炎120例,全部符合1978年杭洲全国病毒性肝炎学术会议重症肝炎诊断标准,其中死亡62例(急性重型25、亚急性重型20、慢性重型17),病死率51.6%。现将死亡原因分析如下。并发症与死亡原因:本组并发症与死亡原因详见表1和表2。并发症以肝昏迷和消化道出血居多,次为肾功能不全、腹膜炎、脑水肿、低血钾和败血症等;直接致死原因亦以肝昏迷最多,其次为消化道大出血,肾功能衰竭和其他各占少数。
From January 1964 to February 1983, 120 cases of severe hepatitis were admitted to our department. All of them were in accordance with the diagnostic criteria of severe hepatitis in HangZhou National Viral Hepatitis Symposium in 1978, of which 62 died (acute heavy 25, subacute heavy 20, chronic Heavy 17), case fatality rate 51.6%. The cause of death is now analyzed as follows. Complications and causes of death: The complications and causes of death in this group are shown in Table 1 and Table 2. Complications of hepatic coma and gastrointestinal bleeding mostly, followed by renal insufficiency, peritonitis, cerebral edema, hypokalemia and sepsis; direct cause of death also hepatic coma most, followed by gastrointestinal bleeding, renal failure and other A minority.