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本文对１９９０－１９９５年间４２例死亡的重型肝炎临床资料进行了分析．发现其中有３６例发生了多器官功能衰竭，这与细菌感染有密切关系，机率为８５．７％，Ｇ－菌培养阳性率为７４．１％，主要为内源性大肠杆菌，克雷白氏杆菌、变形杆菌及肠杆菌属细菌。原发性腹膜炎１８例（５０％），胆系感染９例（２２．２％），支气管肺炎６例（１６．６％），尿路感染３例（８．３％）．临床表现常为隐匿性，早期临床症状及体征多不明显易漏诊．本文结合文献对Ｇ－菌并发多器官功能衰竭作用及防治进行了探讨．
In this paper, 42 cases of death from severe hepatitis in 1990-1995 clinical data were analyzed. Found that 36 cases of multiple organ failure occurred, which is closely related to bacterial infection, the probability was 85.7%, G-positive bacteria culture was 74.1%, mainly endogenous Escherichia coli, Crecre Bacillus, Proteus and Enterobacter bacteria. 18 cases (50%) of primary peritonitis, 9 cases (22.2%) of biliary tract infection, 6 cases (16.6%) of bronchopneumonia and 3 cases (8.3%) of urinary tract infection. Clinical manifestations are often occult, early clinical symptoms and signs are often not easily missed. In this paper, the literature on the G-bacteria complicated by multiple organ failure and prevention and treatment are discussed.