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老年病毒性肝炎临床特点探讨(附76例临床分析)

A Clinical Analysis of Viral Hepatitis in Older Patients

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【作者】 黄跃东高景昌张全栋

【Author】 Huang Yaodong, et al. Beijing Railiway General Hospital, 100038

【机构】 北京铁路总医院北京铁路总医院 100038100038

【摘要】 对近11年住院的60岁以上的老年病毒性肝炎76例进行了临床分析并讨论了老年肝炎的临床特点:1.甲肝发病显著降低。2慢肝多,3乙肝病毒感染是其慢性化的主要原因,4发病过程隐匿,5黄疸复发率高,程度深,6肝功损害广泛严重,7重症肝炎发生率高,死亡率高,8误漏诊多9合并症及并发症多。

【Abstract】 This article reported a clinical analysis of 76 cases of viral hepatitis in patients over 60 years old hospitalized in our hospital in recent 11 years, The clinical features were summarized as follows: (1)the incidence of viral hepatitis type A was obviously low; (2)most of the patients were of chronic hepatitis; (3)hepatitis B virus infection was the main cause for chronic hepatitis;(4)manifesting as an insidious clinical course; (5)a high incidence and with a severe degree of jaundice; (6)an extensive and severe impairment of liver functions; (7)a high incidence and mortality of severe hepatitis; (8)a high incidence of misdiagnosis and missed diagnosis; (9)having more complications and concomitant symptoms.

【关键词】 老年人肝炎病毒
【Key words】 hepatitis virus aged.
  • 【文献出处】 铁道医学 ,Railway Medical Journal , 编辑部邮箱 ,1992年06期
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