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我院1978年至1984年11月期间收治重症病毒性肝炎88例,本文对75例(除外自动出院13例)进行回顾性分析,探求影响预后的某些因素,以期指导今后的治疗。一、一般资料按1978年杭州会议制订的重症病毒性肝炎(简称重肝)诊断标准及分型。75例中急性重型2例,亚急性重型42例,慢性重型31例;女性4例,男性71例,因急性重型及女性病例太少,未作存活率比较,故难下结论;年龄最小为8岁,最大为75岁,30岁以下与31岁以上,存活率分别为55.56％(10/18)与24.56％(14/57),P<0.05。二、临床表现与预后的关系 1.发热:重肝在黄疸进行性加深的同时,持续高热38℃以上,预后不良。发热组与未发热组存活率分别为16.9％(9/53)与69.18％(15/22),P<0.01。
In our hospital, from 1978 to November 1984, 88 cases of severe viral hepatitis were treated. In this paper, 75 cases (except 13 cases of discharged automatically) were retrospectively analyzed to explore some factors that affect the prognosis, in order to guide the future treatment. First, the general information According to the Hangzhou Conference in 1978 developed severe viral hepatitis (referred to as liver) diagnostic criteria and typing. 75 cases of acute heavy in 2 cases, 42 cases of subacute heavy and 31 cases of chronic heavy; 4 cases of women, 71 cases of male, due to too few cases of acute severe and female, no comparison of survival, it is difficult to conclude; the youngest 8 years old, maximum 75 years old, 30 years old and above 31 years old, the survival rates were 55.56% (10/18) and 24.56% (14/57) respectively, P <0.05. Second, the relationship between clinical manifestations and prognosis 1. Fever: severe liver progressive jaundice at the same time, sustained high fever 38 ℃ or more, the prognosis is poor. Survival rates of fever group and non-fever group were 16.9% (9/53) and 69.18% (15/22) respectively, P <0.01.