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重型病毒性肝炎病人101例,男72例,女29例,男女比为2.5:1;年龄6~78岁,其中<14岁和>40岁者85例(84.2%)。慢性重型肝炎病人72例(71.3%),其中乙型肝炎病毒感染率为96.1%。全部病人均合并肝性脑病,其次为肝肾综合征71例(70.3%),出血69例(38.6%),感染61例(60.4%),中毒性心肌炎与肠麻痹39例(38.6%)。发生多器官功能衰竭≤2个者21例(20.8%),3~4个者66例(65.3%),≥5个者14例(13.9%)。提示儿童和40岁以上慢性重型肝炎、并发症及多器官功能衰竭等因素是病死的重要原因。
101 cases of patients with severe viral hepatitis, 72 males and 29 females, male to female ratio of 2.5: 1; aged 6 to 78 years old, of which <14 years and> 40 years old, 85 cases (84.2%). 72 cases of chronic severe hepatitis (71.3%), of which hepatitis B virus infection rate was 96.1%. All patients had hepatic encephalopathy, followed by hepatorenal syndrome in 71 cases (70.3%), hemorrhage in 69 cases (38.6%), infection in 61 cases (60.4%), toxic myocarditis and intestinal paralysis Example (38.6%). There were 21 cases (20.8%) with multiple organ failure ≤2, 66 cases (65.3%) with 3-4 cases, and 14 cases (13.9%) with ≥5 cases. Prompted children and over 40 years of chronic severe hepatitis, complications and multiple organ failure and other factors is an important cause of death.