摘要
目的了解慢性重型肝炎的临床特征,为其防治提供参考资料。方法对50例慢性重型肝炎和92慢性乙型肝炎的临床资料进行了调查分析。结果白蛋白、前白蛋白、TB、PTA在两组患者之间差异有显著性(P<0.01);慢性重型肝炎和慢性乙型肝炎组合并感染的发生率分别为40%、12.0%(P<0.01),以自发性腹膜炎最为常见;慢性重型肝炎和慢性乙型肝炎组的治疗好转率分别为40%(20/50)、96.7%(89/92)。结论慢性重型肝炎肝功能损伤严重、并发感染率高、预后差。自发性腹膜炎的早期诊断和治疗是防止慢性重型肝炎患者病情进一步加重和提高生存率的关键措施之一。
Aim To investigate the clinical features of patients with chronic severe hepatitis. Methods 50 patients with chronic severe hepatitis and 92 patients with chronic hepatitis B were retrospectively analyzed for their clinical data. Results Level of Albumin, globulin, total bilirubin and PTA were different between two groups. Rate of infection in patients with chronic severe hepatitis was much higher than that in patients with chronic hepatitis B and spontaneous bacterial peritonitis was the commonest infection. Rate of recovery or improvement were 40% and 96.37% in patients with chronic severe hepatitis and chronic hepatitis B, respectively. Conclusion The prognosis of patients with chronic severe hepatitis is poor because of severe liver function damage and complicated infection. Early diagrosis of spontaneous bacterial peritonitis is the key approach to preverting chronic seven hepatitis from worsening and to increasing the survival rate.
出处
《安徽医药》
CAS
2007年第1期50-51,共2页
Anhui Medical and Pharmaceutical Journal
基金
安徽省自然科学基金项目(编号:050430804)
关键词
慢性重型肝炎
临床特征
慢性乙型肝炎
chronic severe hepatitis
Clinical feature
chronic hepatitis B
