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目的:更好地了解和掌握慢性肝炎新的诊断方案。方法:对1986~1996年传染科收治的经肝穿病理检查证实为慢性乙型肝炎65例,进行慢性肝炎新、旧诊断对比。其中慢性迁延型肝炎19例,轻度慢活肝14例,中度慢活肝12例,重度慢活肝4例,肝炎后肝硬化16例。结果:19例慢适肝新、旧诊断完全相符;14例轻度慢活肝,新、旧诊断完全相符;12例中度慢活肝,7例新、旧诊断相符;4倒重度慢活肝,3例新、旧诊断相符。结论:大多数病例新、旧诊断相符。没有条件作肝穿的病人,可根据其原诊断标准大致推测出新的诊断。
Objective: To better understand and master the new diagnosis of chronic hepatitis. Methods: 65 cases of chronic hepatitis B confirmed by pathological examination of liver during 1986-1996 were admitted to Department of Infectious Diseases from 1986 to 1996, and the new and old diagnoses of chronic hepatitis were compared. 19 cases of chronic persistent hepatitis, 14 cases of mild slow living liver, 12 cases of moderate slow living liver, 4 cases of severe chronic active liver and 16 cases of posthepatitis cirrhosis. Results: 19 cases of new slow and proper diagnosis of liver, the old diagnosis is completely consistent; 14 cases of mild slow living liver, new and old diagnosis is completely consistent; 12 cases of moderate slow living liver, 7 cases of new, old diagnosis; Liver, 3 cases of new, old diagnosis match. Conclusions: Most new and old diagnoses coincide in most cases. No conditions for the liver to wear the patient, according to its original diagnostic criteria roughly inferred new diagnosis.