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本文收集高胆红素血症的病毒性肝炎60例,胆红素定量均在10mg/dl以上。其中包括重型肝炎31例(慢重肝29例,亚重肝2例)和慢活肝伴淤胆29例。重型肝炎和慢活肝伴淤胆在临床上有如下特点:(1)频繁呕吐、迅速出现腹水、明显腹胀,两组肝炎有显著性差异(p<0.001)。(2)检测指标:以胆固醇<100mg/dl,前白蛋白<5mg/dl及胆硷酯酶<40u为指标,重肝组均多于慢活肝伴淤胆组(p均<0.01),凝血酶原时间>30秒者,两组有显著差异(p<0.01)。(3)两组中血清总胆红素均有高达28mg/dl者,
This collection of 60 cases of hyperbilirubinemia of viral hepatitis, bilirubin quantitative 10mg / dl above. Including 31 cases of severe hepatitis (29 cases of chronic severe hepatitis, 2 cases of sub-heavy liver) and slow live liver with cholestasis in 29 cases. Severe hepatitis and slow liver accompanied by cholestasis clinical features are as follows: (1) frequent vomiting, rapid ascites, significant bloating, two groups of hepatitis were significantly different (p <0.001). (2) The indexes of detection: the indexes of cholesterol were less than 100mg / dl, pre-albumin <5mg / dl and cholinesterase <40u, Prothrombin time> 30 seconds, there was a significant difference between the two groups (p <0.01). (3) serum total bilirubin in both groups up to 28mg / dl,