62例病毒性重症肝炎死亡原因分析

DEATH CAUSE ANALYSIS OF 62 PATIENTS WITH FULMINATE VIRAL HEPATITIS

目的总结重症肝炎的诊治经验，提高抢救成功率。方法对2001年1月-2005年12月我院62例住院病毒性重症肝炎死亡病例进行统计分析。结果62例重症肝炎死亡病例中，60例肝性昏迷，为重症肝炎死亡的首要死亡原因，占96．77％；其次是出血倾向，占75．81％；第三是感染，占54．84％；第四是肝肾综合征，占37．10％，并发症为重症肝炎病人死亡的主要原因，并发症越多，死亡率越高。结论早期诊断，早期预防及治疗并发症，是提高重症肝炎存活率、降低死亡率的重要措施。

Objective To sum up the experience in diagnosis and treatment of the fulminate hepatitis, in order to raise up the salvage rate. Methods Arrange and analyze 62 cases which die of fulminate hepatitis in our hospital during the time from January, 2001 to December,2005. Results In this 62 cases the main cause of death is hepatic coma, which is 96. 77% ; the second cause is bleeding tendency, which is 75.81% ; the third cause is infection, which is 54. 84% , the forth cause is hepatorenal syndrome, which is 37.10%. Complication is the main cause for the death of fulminate hepatitis patients. The more complications, the higher mortality. Conclusion Diagnosis, prevent and treat the complication in an early period is the importance measure to heighten the salvage rate and lower down the mortality of fulminate hepatitis.