肝昏迷是临床严重急症，由输液反应诱发的肝昏迷少见报道。我院传染科收治１例，报告如下。１病例介绍男，６４岁。因肝功能反复异常３ａ，纳差、腹胀、乏力明显７ｄ入院。３ａ前诊断为“慢性活动性肝炎”先后４次住院治疗。４个月前在外院住院时出现原发性腹膜炎及肝昏迷... Hepatic coma is a clinically severe acute disease, rare reported by the infusion reaction-induced hepatic coma. Department of Infectious Diseases admitted to our hospital in 1 case, the report is as follows. 1 case description Male, 64 years old. Abnormal liver function 3a, anorexia, abdominal distension, fatigue significantly 7d admission. 3a pre-diagnosis of “chronic active hepatitis” has 4 inpatient treatment. Primary peritonitis and hepatic coma appeared 4 months earlier when hospitalized outside the hospital