老年人病毒性肝炎临床特点初析  

ANALYSIS OF CLINICAL FEATURES OF VIRAL HEPATITIS IN SENILE PATIENTS

作　　者：武菲菲[1] 李玉芳[1] 哈丽阳[1] 王金花[1] 

机构地区：[1]宁夏医学院附属医院传染科

出　　处：《宁夏医学院学报》1996年第3期32-34,共3页Journal of Ningxia Medical College

摘　　要：１９９４～１９９５年住院患者，老年肝炎３０例与老年前期肝炎、中年肝炎各３０例对比分析其临床特点：①３组皆以ＨＢＶ感染为主（＞８３．３３％），各组重叠感染约占２０％且以ＨＢＶ重叠ＨＣＶ或ＨＥＶ感染为多。但老年肝炎复制标志低于中年组（Ｐ＜０．０１）。②老年肝炎肝硬变发生率高，易发展为慢性重型。③黄疸程度深，肝不大脾大，腹水发生率高。④并发症发生率高，电解质紊乱、消化道出血、肝性脑病、感染以及ＳＭＯＦ等易见。⑤并存症多，以老年病为主。⑥病死率高，主要死于并发症。Contrast analysis was conducted on the clinical features between 30 cases ofsonile hepatitis,30 presenile cases and 30 mid-aged cases that was admitted in our hospitalfrom 1994～1995.The results showed that the senile cases have the following clinical fea-tures:①HBV infection was the major one in 3 groups(>83.32%)with about 20% superinfections.The superinfections were mainly of HBV infection with HCV or HEV. The viralreplication mark in sonile patients was lower than that in mid-aged group( P <0.01).②The incidence of cirrhosis was higher in senile group and they can easily tramsformed intochronic fulminating cases.③Jaundice was more severe and high incidence of ascites.④Theincidence of complication was higher. Disorder of electrolyte, homorrhage of digestivetrack,hepatic encepholopathy, infection and SMOF could be easily found.⑤Senile patientsoften have other complaints mostly the senile diseases.⑥With high mortality mainly result-ed from complications.

关 键 词：病毒性肝炎 肝硬变 老年前期 老年人 

分 类 号：R512.602[医药卫生—内科学]