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本文用统计学方法通过对433例有深度黄疸(血清总胆红质在10毫克％以上)的病毒性肝炎的各项临床和实验室指标的分析,提出以下指标有助于判断病毒性肝炎的病情轻重:(1)黄疸前病程长;(2)深度黄疸;(3)肝脏缩小; (4)腹水;(5)肝性昏迷;(6)黄疸与血清谷丙转氨酶分离;(7)血清胆固醇<100毫克％,胆固醇脂<40毫克％;(8)血清白蛋白<2.5克％;(9)凝血酶原时间延长在正常值一倍以上等。本文同时对重症病毒性肝炎的诊断标准作了探讨。
In this paper, we analyzed the clinical and laboratory parameters of 433 cases of viral hepatitis with deep jaundice (serum total bilirubin above 10 mg%) by statistical methods and proposed the following indicators to help determine the risk of viral hepatitis Severity of illness: (1) long duration of jaundice; (2) deep jaundice; (3) liver shrinkage; (4) ascites; (5) hepatic coma; (6) jaundice and serum alanine aminotransferase separation; Cholesterol <100 mg%, Cholesterol <40 mg%; (8) Serum albumin <2.5 g%; (9) Prothrombin time longer than doubled in normal. This article also discussed the diagnostic criteria of severe viral hepatitis.