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成人巨细胞病毒(CMV)性肝炎临床表现复杂,为提高对该病的认识,对28例成人CMV肝炎进行临床分析。其中14例(50.0%)表现为急性肝炎,8例(28.6%)为慢性活动性肝炎,2例(7.1%)为慢性迁延性肝炎,4例为肝炎肝硬变(活动性)。经护肝、退黄治疗后,27例痊愈,1例好转出院;随访25例中,3例慢活肝病情反复,其余维持正常。分析认为,成人中CMV不仅可致急性肝炎,也可致慢性肝炎,甚至肝硬变。CMV感染为病毒性肝炎及肝硬变的病因之一。
The clinical manifestations of adult human cytomegalovirus (CMV) hepatitis are complex. To improve understanding of the disease, clinical analysis of 28 adult CMV hepatitis patients was conducted. Among them, 14 (50.0%) showed acute hepatitis, 8 (28.6%) were chronic active hepatitis, 2 (7.1%) were chronic persistent hepatitis and 4 were hepatitis cirrhosis Activity). After treatment of liver and yellow, 27 cases recovered and one case was discharged. Among the 25 cases followed up, 3 cases experienced slow and active liver recurrence while others remained normal. Analysis, adult CMV can not only cause acute hepatitis, can also cause chronic hepatitis, and even cirrhosis. CMV infection is one of the causes of viral hepatitis and cirrhosis.