从亚急性肝坏死的病理分期探讨亚急性重型肝炎的早期诊断  

Evaluation of Early Diagnosis of Subacute Severe Hepatitis with Pathologic Staging of Liver Necrosis

作　　者：郭雁宾 刘德恭 杨乐薇 赵慈海 石芝英 李刚 范大炽 孟忻[3] 

机构地区：[1]北京佑安医院临床科 [2]北京佑安医院B超室 [3]北京佑安医院病理科

出　　处：《天津医药》1991年第11期671-674,共4页Tianjin Medical Journal

摘　　要：本文将经病理证实的亚急性肝坏死69例在病理上分为早、中、晚三期,并与临床主要肝功能指标,疾病合并症,转归及 B 超检查结果进行对照比较。结果指出:1.其病理上分为轻、中、重三期,与患者入院病程、疾病转归相一致;与疾病的严重程度及化验指标相吻合,证明此分型是可行的。2.依照病理分期,作者提出了亚急性肝坏死早期诊断依据。3.B 超动态观察可以判定肝脏大小及推测其预后,左叶上下径缩短对诊断亚急性肝坏死至关重要。Sixty-nine cases of subacute liver necrosis were classified pathologically in 3types:early,middle and late,and compared in terms of clinical liver functiontests,complications,out-come and “B” ultrasonic examination.It was pointed out:The pathological classification correlated with the course and out-come of thedisease and also severity of the disease as well as criteria of laboratory studies wereconsorted,this classification was suitable.According to the pathological types,basisof early diagnosis of subacute liver necrosis was analysed.Bultrasonic examinationof the liver and succesive assesments might provide a prognosis.A decreasingvertical diameter of the left lobe was an even more important criterion of the diag-nosis of subacute liver necrosis.

关 键 词：亚急性肝坏死 重症肝炎 病毒性肝炎 

分 类 号：R512.6[医药卫生—内科学]