缺氧性肝炎与病毒性肝炎的临床特点分析

Analysis of clinical characteristics of hypoxic hepatitis and viral hepatitis

目的分析缺氧性及病毒性肝炎的临床特点。方法选取我院2014年2月-2015年2月收治的缺氧性肝炎患者113例(缺氧组)及病毒性肝炎病患113例(病毒组)。对其临床资料实施回顾式分析处理,对比其临床特点。结果缺氧组病患出现恶心、黄疸、肝脏肿胀等症状的发生率明显低于病毒组,2组患者的ALT、AST及DBIL均高于正常值,缺氧组的LDH也高于正常值。病毒组的ALT指标高于AST指标值,而缺氧组的ALT指标低于AST指标值。缺氧组的ALT、AST在发病48h达最高峰,消除诱因后72h的指标下降速度超过50%。而病毒组的肝酶指标下降速度较快,在入院后的72h指标下降幅度较小或保持不变。结论缺氧性及病毒性肝炎的临床症状表现存在差异,加强对两者临床特点的分析,可为临床疾病的确诊提供帮助。

Objective To explore the clinical characteristics of the hypoxic hepatitis and viral hepatitis. Methods Selected 113 cases with hypoxic hepatitis(hypoxia group)and 113 cases of viral hepatitis(viral group)who were adimitted in our hospital from February 2014 to February 2015. The clinical data were analyzed retrospectively,and the clinical characteris-tics were compared. Results Nausea,jaundice,liver swelling and other symptoms appeared in hypoxia group were significantly lighter than the virus group;The ALT,AST and TBIL of two groups were higher than normal,LDH in hypoxia group was also higher than normal,ALT was higher than AST index in virus group,while the ALT indicator were lower than AST index value of hypoxia group. The ALT and AST in the hypoxia group reached the highest peak at the onset of 48h,and the 72h index de-creased by more than 50% after the elimination of the inducement. The liver enzyme index decreased rapidly in virus group, and the 72h index decreased significantly after admission. Conclusion The are differences in the clinical symptoms of hypoxia and viral hepatitis,and to strengthen the analysis of the clinical characteristics of two diseases,can provide help for the accurate diagnosis and treatment of clinical diseases.