63例老年肝炎临床分析  

Elderly Hepatitis:A Clinical Analysis of 63 Cases

作　　者：刘丽萍[1] 

机构地区：[1]江苏省淮安市第四人民医院,江苏淮安223000

出　　处：《中国现代医生》2010年第22期23-24,共2页China Modern Doctor

摘　　要：目的探讨老年肝炎的临床特点,提高对老年肝炎的诊治水平。方法收集2007年1月1日～2008年12月31日肝炎病例969例,其中60岁以上老年肝炎63例,对63例老年肝炎临床资料进行综合分析。结果 63例老年肝炎占同期住院病人的6.5%,其中急性无黄疸型肝炎3例,急性黄疸型肝炎24例,慢性肝炎25例,重型肝炎11例。其中甲肝1例,乙肝34例,丙肝1例,戊肝12例,未定型15例。合并糖尿病8例,心血管疾病10例,呼吸道疾病11例,死亡13例,病死率72.2%(13/18)。结论老年人机体免疫功能下降,免疫应答低下,检测率低,易感染,易误诊,易发生药物性肝炎,并发症多,病死率高。Objective To investigate the clinical features of elderly hepatitis in an effort to improve the diagnosis and treatment of elderly hepatitis.Methods A comprehensive analysis was made of clinical data of 63 cases of elderly hepatitis （more than 60 years old） out of 969 cases of hepatitis from Jan.2007 to Dec.2008.Results The 63 cases of elderly hepatitis accounted for same time in-patient 6.5%,including 3 cases of acute hepatitis without jaundice,24 cases of acute jaundice hepatitis,25 cases of chronic hep-atitis and 11 cases of severe hepatitis.In these cases,one case was hepatitis A,34 were hepatitis B,hepatitis C,one was hepatitis C,12 were hepatitis E and 15 were undefined.In these cases,there was hepatitis with diabetes in 8 cases,with cardiovascular dis-ease in 10 cases,with respiratory illness in 11 cases and death in 13 cases.The mortality was 72.2%（13/18）.Conclusion The data suggest that the elderly patients show the decline in immune function,the decrease in immune response,lower detection rate,easy to infect,easy to misdiagnose,easy to have drug-induced hepatitis,more complications and high mortality.

关 键 词：老年肝炎 免疫低下 病死率 

分 类 号：R512.6[医药卫生—内科学]