119例重型肝炎临床分析  

Clinical analysis on 119 cases with severe hepatitis

作　　者：周莉[1] 姜丽丽[1] 王东[1] 张林鹏[1] 

机构地区：[1]太原市传染病医院,太原市030012

出　　处：《中华实验和临床感染病杂志（电子版）》2009年第3期30-31,共2页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的探讨重型肝炎的临床分布特征。方法回顾性研究调查本院2005～2007年收治的119例重型肝炎患者的临床分布情况。结果重型肝炎患者中以慢性重型肝炎所占的比例最大,为81.5%,常见严重并发症的发生率分别为腹水(68.1%)、电解质紊乱(65.5%)、肝性脑病(51.3%)、原发性腹膜炎(48.7%)、肝肾综合征(29.4%)、脾功能亢进(24.4%)、上消化道出血(16.8%)、胸水(10.1%),重型肝炎病死率达12.6%。结论重视肝病患者的定期复查,及早发现重型肝炎倾向,早期治疗可以有效降低病死率。Objective To observe the distribution of severe hepatitis by clinical characteristics and outcomes. Methods Clinical data of 119 severe hepatitis cases admitted during 2005-2007 were reviewed. Results Among all the severe hepatitis cases, chronic severe hepatitis accounted for 81.5% , of which the common complications were abdominal effusion （68.1% ） , disorder of electrolyte （65.5 % ） , hepatic encephalopathy （51.3%） , idiopathic peritonitis （48.7%） , hepatorenal syndrome （29.4%） , hypersplenism （24.4%）, upper gastrointestinal tract hemorrhage （16.8%） and hydrothorax （10.1%）. The fatality rate of severe hepatitis reached 12.6%. Conclusions It is recommended that liver disease patients should go through regular physical examinations to detect and treat severe hepatitis at an early stage which can reduce the fatality rate significantly.

关 键 词：重型肝炎 临床分析 

分 类 号：R512.6[医药卫生—内科学]