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病毒性肝炎中暴发型是严重威胁病人生命的一型。发病后急剧发生肝衰竭,病死率高。近年来通过临床实践,疗效有了较大的提高,现分四方面进行讨论。(一)诊断问题目前对暴发型病毒性肝炎(下简称暴发型肝炎)尚无统一的诊断标准,主要是对于临床表现的严重程度和发病后到出现肝衰竭的时间标准不一。1971年巴黎国际肝炎会议讨论的标准是:发病前肝功能正常,发病后8周内肝衰竭并出现昏迷者。同年,日本第五十七届日本消化器病学会总会讨论剧症肝炎(急性肝坏死)标准是:发病前肝功能正常,病后6～8周内出现急剧肝衰竭症状、肝萎缩、进行性黄疸和精神神经症状等。
Outbreaks of viral hepatitis are types that pose a serious threat to the life of the patient. After the onset of acute liver failure, high mortality. In recent years through clinical practice, efficacy has been greatly improved, are divided into four areas for discussion. (A) the diagnosis of At present, there is no uniform diagnostic criteria for fulminant viral hepatitis (hereinafter referred to fulminant hepatitis), mainly for the severity of clinical manifestations and onset of liver failure time criteria vary. 1971 Paris International Hepatitis Conference to discuss the standard is: before onset of normal liver function, 8 weeks after onset of liver failure and coma. In the same year, Japan’s Fifty-seventh Japan Society of Digestive Disease Society to discuss the standard hepatitis (acute liver necrosis) criteria are: normal liver function before onset, symptoms of acute liver failure within 6 to 8 weeks after the disease, liver atrophy, carried out Jaundice and mental neurological symptoms.