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影响重症病毒性肝炎预后有关因素的分析

Analysis of Prognostic Factors in Severe Viral Hepatitis

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【作者】 刘自贵; 谭明珍; 邱德贵; 王锦蓉; 孙维纲; 黎飞; 刘丽;

【Author】 Liu Zigui Department of Infectious Disease,First Affiliated Hospital,Weat China University of Medical Sciences,Chengdu

【机构】 华西医科大学传染科; 华西医科大学传染科; 华西医科大学病理科;

【摘要】 本文分析70例重肝(急性重肝9例,亚急重肝23例,重型慢活肝38例)影响预后的因素。无并发症的10例均存活。有并发症的60例病死49例(81.67%),其中出现肝性脑病、肝脏缩小、上消化道大出血及肝肾综合征者分别病死44/49例(89.79%)、15/17例(88.23%)、33/34例(97.10%)及28/33例(84.8%)。提示出现严重并发症者预后差,预防和治疗各种并发症如能控制病情发展,可望降低病死率。

【Abstract】 The prognostic factors were analyzed in 70 patients with severe viral hepatitis.Sixty cases had one or more complications,such as hepatic encephalopathy,hepatotrophy,blee- ding tendency,and hepatorenal syndrome.Among them 49 patients died.The other 10 patients without any complication survived.The results indicated that the prognosis of the disease mainly depends upon the severity and the management in early stage of the illness.In addition,adequate treatment and prevention of complications may be helpful for reducing the mortality.

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