论文部分内容阅读
急性肝炎一般预后良好,但在临床上也往往看到转变为慢性肝炎和肝硬化的病例。作者等对于过去6年中诊疗并随访1年以上的128例急性肝炎患者以谷丙转氨酶(GPT)的变化为指标分成3组:发病后半年内GPT恢复正常的为A组,发病后持续异常半年以上而于1年内恢复正常的为B组,发病1年后仍然异常者为C组。根据此分类从以下几方面分析各种情况对预后的影响。1.肝组织活检与预后:根据活检情况分为下列4型:没有亚小叶性坏死,仅有轻度灶状坏死的为Ⅰ型;役有亚小叶性坏死,但灶状坏死显著的为Ⅱ型;
Acute hepatitis generally has a good prognosis, but is also often seen in clinical cases of chronic hepatitis and cirrhosis. The authors divided the 128 patients with acute hepatitis who had been treated and followed up for more than one year in the past 6 years into 3 groups according to the change of alanine aminotransferase (GPT): Group A returned to normal within 6 months after onset of GPT, More than six months and returned to normal within 1 year for the B group, one year after the onset of abnormalities were C group. According to the classification of the following aspects from the analysis of the impact of various conditions on the prognosis. 1. Liver biopsy and prognosis: According to the biopsy is divided into the following 4 types: no subtle leaflet necrosis, only mild focal necrosis type Ⅰ; served with subtle leaflet necrosis, but the significant focal necrosis Ⅱ type;