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重型病毒性肝炎病情重、预后差、病死率高。我科于1992年12月至1997年11月收治重型肝炎345例,除74例自动出院外,余271例中死亡188例,病死率为69.4％。现就其对影响预后的有关因素进行回顾性分析,并加以探讨。1 材料与方法1.1 病例选择 按1995年5月全国传染病寄生虫病学术会议(北京)诊断标准,对271例重型肝炎重新统一诊断、分型。其中急性重型10例(3.7％),亚急性重型19例(7.0％),慢性重型242例(89.3％)。男253例(93.4％),女18例(6.6％)。年龄4个月至81岁。其中20岁以下10例(3.7％),21～40岁60例(22.1％),41～60岁164例(60.5％),60岁以上37例(13.7％)。
Severe viral hepatitis, severe illness, poor prognosis, high mortality. From December 1992 to November 1997, 345 cases of severe hepatitis were admitted to our department. Except for 74 cases, 188 cases were caused by death in another 271 cases, the case fatality rate was 69.4%. Now on its impact on the prognosis of the factors related to a retrospective analysis and to explore. 1 Materials and Methods 1.1 Case Selection According to the National Conference on Infectious Diseases Parasitic Diseases (Beijing) in May 1995, 271 cases of severe hepatitis were re-diagnosed and classified. Among them, 10 cases were acute severe cases (3.7%), 19 cases were subacute severe cases (7.0%) and 242 cases were chronic severe cases (89.3%). There were 253 males (93.4%) and 18 females (6.6%). Age 4 months to 81 years old. There were 10 cases (3.7%) under 20 years old, 60 cases (21.2%) from 21 to 40 years old, 164 cases (60.5%) from 41 to 60 years old and 37 cases (13.7%) over 60 years old.