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作者观察23(女12、男11)例60岁及以上的老年急性病毒性肝炎患者的临床经过。年龄60～86(平均71.5)岁。均加杂有慢性内科疾患,最常见为心血管疾患、肺部疾患和恶性疾病。4例因肿瘤而接受免疫抑制剂治疗。23例中5例无肝炎的临床症状,其他18例临床表现的严重程度则轻重不一。常见的有黄疸、乏力、纳呆、粪或尿颜色改变、腹痛、腹泻和恶心等。发热、消瘦、便秘、搔痒、关节痛、肌痛或脑病等则较少见。体检发现黄疸者12例,肝肿大10例,部分患者尚伴有肝压痛、消瘦和发热。23例中1例8个月前曾输血,17例在起病前6个月内输注过血制品,余5例则从无输血制品或仅在起病前3年曾输注血制品。血清学检查证实为乙型肝炎者4例;原因不明的
The authors observed the clinical course of 23 (12 female and 11 male) patients aged 60 years and older with acute viral hepatitis. Age 60 ~ 86 (average 71.5) years old. Both are mixed with chronic medical conditions, the most common cardiovascular disease, lung disease and malignant diseases. Four patients received immunosuppressive therapy due to the tumor. Five of the 23 patients had no clinical symptoms of hepatitis and the severity of the other 18 patients was variable in severity. Common jaundice, fatigue, nevus, fecal or urine color change, abdominal pain, diarrhea and nausea and so on. Fever, weight loss, constipation, itching, joint pain, myalgia or encephalopathy are rare. Physical examination found jaundice in 12 cases, hepatomegaly in 10 cases, some patients are still accompanied by liver tenderness, weight loss and fever. Of the 23 cases, 1 had transfusions 8 months earlier, 17 had infusions of blood products within 6 months prior to onset, and 5 had transfusions from no transfusions or just 3 years prior to onset. Serological tests confirmed 4 cases of hepatitis B; unexplained