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急性病毒性肝炎患者中有极少部分会发展为急性或亚急性重型肝炎,预后凶险。如何依据普遍采用的生化检查指标来鉴别这三种不同的临床类型,为重型肝炎早期诊断提供线索,这是值得探讨的问题。为此,笔者收集我院自1962年4月至1984年4月有肝组织活检(或死穿)证实的急性重型45例,亚急性重型21例,急性黄疸型肝炎高胆红素血症(Bil>10mg/dl)28例进行比较,结果如下:一、性别及年龄:急性黄疸型肝炎(以下简称急黄肝)28例,男12例,女16例,年龄平均35岁;急性重型肝炎(以下简称急重肝)45例,男28,女17例,年龄平均32岁;亚急性重型肝炎(以下简称亚
A very small proportion of patients with acute viral hepatitis develop acute or subacute severe hepatitis with a very poor prognosis. How to identify the three different clinical types according to the commonly used biochemical indexes to provide clues for the early diagnosis of severe hepatitis is worth discussing. To this end, the author collected our hospital from April 1962 to April 1984 liver biopsy (or dead) confirmed acute heavy 45 cases, 21 cases of subacute heavy, acute jaundice hepatitis hyperbilirubinemia ( Bil> 10mg / dl) 28 cases, the results are as follows: First, gender and age: acute jaundice hepatitis (hereinafter referred to as acute yellow) 28 cases, 12 males and 16 females, mean age 35 years; acute severe hepatitis (Hereinafter referred to as acute severe liver) 45 cases, 28 males and 17 females, mean age 32 years; subacute severe hepatitis (hereinafter referred to as Asia