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本文对经组织学证实的亚急性及慢性重型病毒性肝炎56例进行了临床分析,发现患者血清胆红素及凝血酶原活动度为影响患者预后的重要指标。亚急性重型预后明显优于慢性重型。血氧分压明显下降、凝血酶原活动度低下时,应警惕亚急性肝坏死。早期诊断及时治疗可提高存活率。病理学恢复晚于临床症状及血清生化指标的好转,在病程的第三、四个月,已有部分患者转变为慢活肝或肝硬变。
In this paper, histologically confirmed subacute and chronic severe viral hepatitis in 56 cases were analyzed and found that patients with serum bilirubin and prothrombin activity is an important indicator of the prognosis of patients. Subacute severe prognosis was significantly better than chronic heavy. Oxygen partial pressure decreased significantly, prothrombin low activity, should be alert to subacute hepatic necrosis. Early diagnosis and timely treatment can improve the survival rate. Pathological recovery later than clinical symptoms and serum biochemical indicators of improvement in the course of the third and fourth months, some patients have been converted to slow living liver or cirrhosis.