重型肝炎185例并发症防治研讨

• 作 者: 程国才 孙莲娜 杜捷 周智勇 舒惠芬 万水春
• 机 构: 景德镇市第一人民医院肝病中心,景德镇市第一人民医院肝病中心,景德镇市第一人民医院肝病中心,景德镇市第一人民医院肝病中心,景德镇市第一人民医院肝病中心,景德镇市第一人民医院肝病中心 333000,333
• 出 处: 临床肝胆病杂志
• 发表日期: 1997年01期
• 关键词: 重型肝炎 并发症防治 难治性腹水 消化道大出血 低钠血症 血清钠 肝肾综合征 肝病中心 腹水直接回输 原发性腹膜炎

本文报告185例重型肝炎,病死率62.7％。有113例发生各类并发症,其病死率为(85/113)75.2％,以并发肝肾综合征(HRS)病死率(91.6％)最高,其次为消化道大出血(72.7％)。甲、乙两组并发症发生率分别为74.5和55.9％。有并发症病例的病死率分别为86.8％和69.3％,两组比较均有显著性差异。因为乙组病例开展了一些新疗法,并特别着重了对难治性腹水、低钠血症和消化道出血的防治。本文重点对上述三大难题进行了讨论。

This article reports 185 cases of severe hepatitis, the mortality rate of 62.7%. There were 113 cases of various complications, the mortality rate was (85/113) 75.2%, with concurrent liver and kidney syndrome (HRS) mortality was the highest (91.6%), followed by gastrointestinal bleeding (72.7%). A, B two complication rates were 74.5 and 55.9%. Mortality rates of complications were 86.8% and 69.3% respectively, with significant differences between the two groups. Because some cases of new treatment group B, and with particular emphasis on the prevention and treatment of refractory ascites, hyponatremia and gastrointestinal bleeding. This article focuses on the three major issues discussed.