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本文总结1975～1981七年中收治65岁以上老年人急肝82例,计黄疸型56例、无黄疸型14例、重症12例、其中急性重症5例,亚急性重症7例,有黄疸者68例。肝炎接触史14.6%,注射史23%。全部病例均有不同程度肝炎症状、体征。血胆红素增高68例,HBsAg阳性3例。肝炎误诊率9.8%。有各种并存疾病者50例。血胆红素平均恢复正常时间(中位数)3.77周。SGPT平均恢复正常时间(中位数)3.5周。平均住院时间(中位数)31.16天,肝炎病死率12.2%。就老年人急肝特点进行了讨论:1.近年随着诊断水平、老年长寿的增加、住院率逐年上升,更能反映出实际发病率。2.老年乙型肝炎确属少见。3.老年急肝临床特点:①黄疸发生率高、程度深、消退慢。②诊断及时率低。③重症肝炎发生率高、死亡率高,预后差,④肝功能恢复慢。
This article summarizes from 1975 to 1981 in seven years admitted to the elderly over 65 years old 82 cases of acute liver, jaundice 56 cases, jaundice 14 cases, 12 cases of severe, including acute severe cases in 5 cases, 7 cases of subacute severe cases, with jaundice 68 cases. Hepatitis exposure history 14.6%, injection history 23%. All cases have varying degrees of hepatitis symptoms and signs. 68 cases of elevated serum bilirubin, HBsAg positive in 3 cases. Misdiagnosis rate of hepatitis 9.8%. There are a variety of coexisting diseases in 50 cases. Blood bilirubin average recovery time (median) 3.77 weeks. SGPT average recovery time (median) 3.5 weeks. The average length of stay (median) was 31.16 days and the case fatality rate was 12.2%. On the characteristics of the elderly acute liver were discussed: 1. In recent years with the diagnosis, the increase of longevity, hospitalization rate increased year by year, better reflect the actual incidence. 2. Hepatitis B is indeed rare. 3 elderly acute liver clinical features: ① high incidence of jaundice, the degree of deep, slow regression. ② timely diagnosis of low rate. ③ high incidence of severe hepatitis, high mortality, poor prognosis, ④ slow recovery of liver function.