“坏死型”肝炎是指病毒性肝炎中出现肝细胞弥漫性的大块或亚大块坏死。目前,对这类肝炎的诊断、分型,国内尚无统一名称和标准。北京地区有分为:急性肝炎亚急性肝坏死、慢性肝炎亚急性肝坏死、急性重症黄疸型肝炎、暴发型肝炎等四型;上海和浙江分为:急性重度黄疸型、急性黄疸腹水型、慢性黄疸腹水型、慢性重度黄疸型、暴发型等五型;广州地区统称为重症肝炎;提出了六项条件,武汉地区称为恶性型肝炎(分急性和亚急性恶性肝炎二型);东北沈阳地区称坏死型肝炎(分急性和亚急性肝坏死)等。由于标准和分型的不统一,妨碍了科研协作、治疗措施和预后估价。为此,建议全国应有一个统一的诊断和分型标准。并提出如下建议: 一、名称统一改为“坏死型肝炎”,这是根据这类病人 “Necrotic” hepatitis refers to diffuse large or sub-massive necrosis of hepatocytes in viral hepatitis. At present, the diagnosis of such hepatitis, typing, there is no uniform name and standard. There are four subtypes in Beijing: subacute hepatic necrosis of acute hepatitis, subacute hepatic necrosis of chronic hepatitis, acute severe jaundice hepatitis and fulminant hepatitis. Shanghai and Zhejiang are divided into acute severe jaundice, acute jaundice and ascites, chronic Jaundice ascites, chronic severe jaundice, fulminant five; Guangzhou area collectively referred to as severe hepatitis; proposed six conditions, called malignant hepatitis in Wuhan (sub-acute and sub-acute type II); Shenyang, northeast China Necrotic hepatitis (sub-acute and sub-acute liver necrosis) and so on. Inconsistency between standards and typing hinders research collaborations, treatment options, and prognostic valuation. To this end, it is recommended that the country should have a uniform diagnostic and typing criteria. And made the following recommendations: First, the name changed to “necrotic hepatitis”, which is based on such patients