重症肝炎因脑出血致死的病例,日本曾有报告。我院于1980年7月收治1例亚惫性重症肝炎,其直接死亡原因为脑出血,兹报道如下。患者肖×,男性,51岁。患者因纳差、恶心、呕吐、厌油、疲乏无力一个月,眼黄染、尿黄进行性加深25天,伴腹胀、尿少、下肢浮肿4天,于1980年7月10日由某医院转入本院。既往无高血压病史。体检:体温37.1℃,呼吸70次/分,脉搏80次/分,血压140/90mmHg。神志清楚,表情淡漠。巩膜及皮肤深度黄染。口腔内有霉菌性白色点状和膜状分泌物。颈软,心肺(-)。肝浊音界缩小至第7、8肋间,肋下未触及,脾未触及。腹部胀,腹肌稍紧张,有弥漫性压痛,移动性浊音(+)。下肢稍浮肿,膝反射迟钝。拍翼样震颤阳性。化验:血白细胞12500,中性 Severe hepatitis due to death caused by cerebral hemorrhage, Japan had a report. In our hospital in July 1980 admitted to a case of Asian patients with severe hepatitis, the direct cause of death as cerebral hemorrhage, it is reported below. Patient Xiao X, male, 51 years old. Patients due to anorexia, nausea, vomiting, tired of oil, fatigue, weakness, eye yellow dye, progressive deepening of urine 25 days, with abdominal distension, oliguria, lower extremity edema for 4 days, on July 10, 1980 by a hospital Transferred to this hospital. No previous history of hypertension. Physical examination: body temperature 37.1 ℃, breathing 70 beats / min, pulse 80 beats / min, blood pressure 140 / 90mmHg. Consciousness, expression of indifference. Sclera and skin depth yellow dye. Mucous white spots and membranous secretions in the mouth. Neck soft, cardiopulmonary (-). Liver dullness narrowed to the 7th and 8th intercostal space, the ribs did not touch the spleen did not touch. Abdominal distension, abdominal muscle tension, diffuse tenderness, mobility dullness (+). Lower extremity slightly edema, knee reflex slow. Snapshot-like tremor positive. Assay: 12500 white blood cells, neutral