论文部分内容阅读
近年来国内外学者对重肝的发病机理、诊断和治疗做了大量工作,有了一些新的进展,存活率有所提高.但仍然有许多问题尚待深入研究.现就以下几个问题进行讨论.一、关于重症肝炎病原的研究目前已知甲型、乙型、非甲非乙型三种肝炎病毒均可在少数病例中引起重症肝炎.此外慢性乙型肝炎合并δ因子感染者易成重症肝炎.在国内以乙型肝炎病毒引起者最为常见.据中国医大董祥家教授报告,50例重症肝炎中,甲型2例,乙型38例,非甲非乙型10例.在国外非甲非乙型肝炎病毒引起者最为多见,据欧美的一篇报告,在165例发生暴发性肝衰竭的重肝中,非甲非乙型73例,乙型肝炎病毒57例,甲型33例.因此,重症肝炎病原学,国内与国外有所差异.二、关于重症肝炎肝坏死原因的研究有关本病的发病机理未明.目前多从病毒因素
In recent years, scholars at home and abroad have done a lot of work on the pathogenesis, diagnosis and treatment of severe liver disease, with some new progress and increased survival rate. However, there are still many problems to be studied in depth. Discussion.A study on the pathogen of severe hepatitis currently known A, B, non-A non-B hepatitis virus can cause severe hepatitis in a few cases.In addition, chronic hepatitis B with delta-factor infection is easy to become Severe hepatitis in the country caused by hepatitis B virus is the most common .According to the report of Professor Dong Xiangjia of China Medical University, 50 cases of severe hepatitis, 2 cases of type A, 38 cases of type B, non-A non-type B. In non-A Non-hepatitis B virus caused the most common, according to a report in Europe and America, 165 cases of fulminant hepatic failure occurred in the liver, non-A non-B 73 cases, 57 cases of hepatitis B virus, 33 cases of A . Therefore, severe hepatitis etiology, domestic and foreign differences.Second, on the causes of severe hepatitis liver necrosisThe pathogenesis of this disease is unknown.At present, many from the viral factors