【摘要】 本文报告经肝脏活体组织检查证实的重症肝炎50例治疗结果。采用一般疗法12例,死亡10例;而采用综合基础疗法的38例,死亡16例,成活22例(57.89%)明显高于对照组,并就综合基本疗法的用药方法和剂量等问题进行了探讨。更多还原

【Abstract】 Fatality rate for severe hepatitis (SH) is very high. Because pathogenesis for SH is complieated, synthetical treatment should be taken in order to improve survival rate. In 50 reported cases of SH which were confirmed by liver biopsy, 8 were acute SH, 42 were subacute SH based on pathological grouping. 26 of 50 cases died. The fatality rate was 52%.In 38 cases treated with complex amino acid, peptide thymus, plasma or human albumen and glu-cagon-insulin, 16 died. Fatality rate wae 42.11%, survival rate 57.89%.Liver biopsy was performed in one of 22 cases on the 37th day of onset. The second liver biopsy showed that hepatocytes were hyper plasia and recovered but there was an area of necrosis.Ten of 12 patients with subacute SH recovered to mild or middle chronic active hepatitis. Their fosi of necrosis recovered.Only 2 cases of subacute SH showed changes of severe chronic active hepatitis and early hepatocirrhosis.更多还原