论文部分内容阅读
我院1995年1月～1997年11月收治乙型肝炎肝硬变(简体肝硬变)患者608例,其中死亡100例,病死率为16.45%.死亡100例中.伴1种以上并发症、继发症、合并病等兼症的发生率为100%.我们就兼症与死因的关系进行探讨如下:1 临床资料1.1～般资料 本组死亡100例中,男93例,女7例,平均年龄48.43岁,17岁～66岁.1.2 诊断标准 按1995年北京全国传染病寄生虫病学术会议修订的病毒性肝炎诊断分型标准,本组病例均诊断为乙型肝炎肝硬变活动期.按Chid一pugh分级标准,本组病例A级0例、B级7例(7%)、C级93例(93%).1.3 主要死亡原因①肝性肾衰.(肝肾综合征)30例(30%);②上消化道出血23例(23%);③肝性脑病21例(21%);④细菌感染13例(13%);⑤电解质紊乱6例(6%);⑥心力衰竭、循环衰竭3例(3%);⑦肝硬变继发肝癌破裂3例(3%);⑧脑出血1例(1%).
608 cases of hepatitis B cirrhosis (simplified cirrhosis) were admitted to our hospital from January 1995 to November 1997, of which 100 died, the case fatality rate was 16.45% .Among the 100 cases died, accompanied by more than one kind of complications , Secondary disease, the incidence of complications and other complications was 100% .We discuss the relationship between the disease and the cause of death are as follows: 1 Clinical data 1.1 ~ General information The group of 100 patients died, 93 males and 7 females , The average age of 48.43 years old, aged 17 to 66. 1.2 diagnostic criteria according to the 1995 Beijing National Conference on Infectious Diseases Parasitic Diseases revised diagnostic criteria for viral hepatitis, this group of patients were diagnosed with hepatitis B cirrhosis activity According to Chid-pugh grading standards, the group A patients in 0 cases, B-class in 7 cases (7%), C-class in 93 cases (93%). 1.3 The main causes of death ① hepatic renal failure. ) 30 cases (30%); ② 23 cases of upper gastrointestinal bleeding (23%); ③ Hepatic encephalopathy in 21 cases (21%); ④ Bacterial infection in 13 cases (13% ; ⑥ heart failure, circulatory failure in 3 cases (3%); ⑦ liver cirrhosis secondary to liver cancer rupture in 3 cases (3%); ⑧ cerebral hemorrhage in 1 case (1%).