【摘要】 本文分析了87例肝炎合并脂肪肝的临床病理特点、发病机理和诊断。指出:1.慢性活动性肝炎最易发生脂肪肝,尤其是 HBsAg 及 HBeAg 均阳性者。2.与单纯脂肪肝不同的是,肝炎合并脂肪肝时,轻、中型血脂检查可无明显异常。3.肝炎急性期,应避免长期大量输注葡萄糖及过分强调卧床休息,以免发生医源性脂肪肝。4.肝炎合并脂肪肝的诊断应综合考虑。更多还原

【Abstract】 Clinico-pathological characteristics pathologenesis and diagnosis were studiedthrough analysing 87 cases of viral hepatitis complicated with fatty liver.It waspointed out that:1.Chronic active hepatitis was apt to develop fatty liver,particul-arly if HBsAg and HBeAg were all positive.2.Simple primary fatty liver was dif-ferent from fatty liver complicating viral hepatitis,in that no obvious hyperlipemiawas noted in the latter case of mild and moderate degrees.3.During the acute period,excessive nutrient infusions,and bed rest should be avoided to prevent fromfattyliver of the iatrogenic origin.4.The diagnosis of fatty liver complicating viralhepatitis needs a comprehensive study.更多还原