凝血酶元时间测定在深度黄疸型病毒性肝炎中的临床意义

Clinical Significance of PT Measurement in Deep Icteric Viral Hepatitis

本文通过72例深度黄疸型病毒性肝炎病人有关资料的分析,说明PT延长对重肝发生及死亡有显著意义。当PT(比正常对照)>10″时,除一例为慢活肝外其余全部为重肝死亡率为66.6%,当PT(比正常对照)>20”时,全部为重肝而且100%死亡。黄疸深度与重肝的发生及死亡也有一定的关系。据此作者提出,对于深度黄疸型的肝炎病人,入院时常规的测定PT(及正常对照),对于判断是否为重肝及其予后有重要意义。以便早期诊断采取措施,减少死亡。

The details about 72 patients suffering from deep icteric viral hepatitis were studied and the results indicated that the prolong of PT was related with the progress and mortality of heavy hepatitis, when PT (compared with the nornormalal control group)prolonged over 10 sec., all were heavy hepatitis except one case and the mortality was 66. 6%. When PT prolonged over 20sec.,all were heavy hepatits and the mortality was 100%. Icteria deepness also was related with the progress and mortality of heavy hepatitis. So the authors suggest measuring PT in routine for all patients with deep icteric hepatitsin hospital. It has an important significance in judging whether it is heavy hepatits or not and its prognosis. And this is helpful in early diagnosis and immediate treatment to reduce its mortality.