74例老年戊型肝炎特点分析

Analysis of the clinical characteristic of hepatitis E in the elderly

目的探讨老年戊型肝炎的临床及流行病学特点.方法对1999年1月～2004年12月住院的老年戊型肝炎(n=74例)与非老年戊型肝炎(n=72例)患者的临床资料进行回顾性分析.结果老年戊型肝炎患者的临床特点为:起病缓慢,黄疸发生率高,肝功能损害较严重,低蛋白血症明显,合并症多及住院时间较长.结论老年戊型肝炎患者为老年肝病常见病因之一,对此应予以足够重视.

Objective To investigate the clinical characteristic of the hepatitis E in the elderly. Methods Patients with hepatitis E were divided into elderly group （74 patients） and young group （72 patients） and the clinical data were analyzed retrospectively, Resuits Hepatitis E in the elderly had the following clinical features： slow onset, hyperbilirubinemia, severe functional lesion of liver, hypoproteinemia, much more complications, and longer clinical course. Conclusion Hepatitis E is one of the most conunon hepatitis in the elderly and it is necessary to pay more attention to its prophylaxis and treatment.