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50例急性及亚急性肝坏死组织病理学分析
HISTOPATHOLOGICAL ANALYSIS OF 50 CASES OF ACUTE AND SUBACUTE LIVER NECROSIS
【摘要】 在临床急性重症及亚急性重症肝炎中,有50例经肝穿活检证实为急性及亚急性肝坏死。8例急性肝坏死中1例存活,42例亚急性肝坏死中有23例存活。按肝坏死的病理发展过程,把亚急性肝坏死分为早、中、后三期,治疗1~5个月后,有12例进行第二次肝穿活检,其中3例亚急性肝坏死早期均显示为轻度慢活肝,5例中期显示以中度慢活肝为主,而4例后期则显示有2例为重度慢活肝伴肝硬化。其结果表明,在亚急性肝坏死早期经治疗存活者,其肝组织修复较好。
【Abstract】 Fifty liver biopsies with fulminant hepatitis showing features cf acute and subacute liver necrosis were studied.Only one out of 8 cases of acute liver necrosis and 23 out of 42 cases subacute liver necrosis survived. According to the morphologic features cf the liver,subacute liver necresis was classified into early, middle, and late stage. After treatment for 1~5 months,the follow-up biopsies were done in 12 survivals, 3 cases of early stage subacute liver necrosis showed mild CAH, 5 cases of middle stage showed moderate CAH predominantly and 4 cases of late stage showed 2 cases of severe CAH with cirrhosis. The results suggested that these patients survived in the early stage would make recovery of the liver better.
- 【文献出处】 中国医科大学学报 ,Journal of China Medical University , 编辑部邮箱 ,1988年03期
- 【被引频次】3
- 【下载频次】46