摘要
本文报道了我院1978年5月～1988年10月间收治的32例重症肝炎死亡病例。男性19例(59.38％),女性13例(40.62％)。其中急重型7例,亚重型7例,慢重型18例。主要死亡原因依次为肝昏迷、大出血、肝肾综合征、脑水肿和感染。本文强调应在综合治疗的基础上加用胎肝细胞悬液输注,可能会提高重症肝炎的存活率。
A clinical study of severe hepatitis was conducted in 32 (acute 7, subacute 7, chronic 18) fatal cases hospitalized in our department from 1978 to 1988. The following factors were found to be associated with a poor prognosis:
1.Hepatic coma in grade Ⅲ or greater than grade Ⅲ;
2.Progressively shrinked liver in size;
3.Rapid increase of jaundice ( ≥ 171 μmol/L );
4. A lower than normal level of blood kalium, natrium and chloride;
5. A prolonged prothrombin time;
6. Blood WBC greater than 10×109/L with neutrophil predominant;
7. Secondary infections;
8. Serious bleeding;
9. Hepato-renal syndrome;
10. Brain edema.
Our data showed that severe hepatitis was a critical, complicated and life-threatening disease. Its major causes of death in descending order were hepatic coma, heavy bleeding, hepato-renal syndrome , brain edema and secondary infections. The authors emphasize that on the basis of comprehensive therapy, the infusion of fetal liver cell suspension may improve the survival rate of the disease.
出处
《蚌埠医学院学报》
CAS
1990年第4期243-245,共3页
Journal of Bengbu Medical College
关键词
重症肝炎
死亡原因
并发症
severe viral hepatitis
causes of death
comprehensive therapy
complications
