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我科于1960～1980年间共收治急性病毒性肝炎926例,其中50岁以上者38例,占同期住院病人的4.1％,与国内报告的60岁以上或55岁以上的急性病毒性肝炎2.16～5％的发生率相近。临床特点 1、50岁以上急性病毒性肝炎与青壮年急性病毒性肝炎在症状、体征上并无本质的区别,但由于年龄较大,患者的机体生理功能减退,免疫功能降低,肝脏的再生力、解毒力、蛋白质合成,肝糖元合成、脂肪代谢等功能降低,又常伴有各种慢性疾病,可直接或间接地影响预后。本组38例中有夹杂症者27例,其中高血压8例、支气管炎7例、胆囊炎5例、尿道感染3例、消化道出血2例、甲亢及肺癌各
Our department treated 926 cases of acute viral hepatitis from 1960 to 1980, of which 38 cases were over 50 years of age, accounting for 4.1% of inpatients in the same period, compared with 2.16% in domestic reported cases of acute viral hepatitis over 60 years of age or over, The incidence of 5% is similar. Clinical features 1, 50 and above Acute viral hepatitis and acute hepatitis in young adults in the symptoms and signs of no essential difference, but because of age, the patient’s physiological function decline, decreased immune function, liver regeneration , Detoxification, protein synthesis, glycogen synthesis, fat metabolism and other functions to reduce, and often accompanied by a variety of chronic diseases, can directly or indirectly affect the prognosis. The group of 38 patients with 27 cases of complications, including hypertension in 8 cases, bronchitis in 7 cases, 5 cases of cholecystitis, urinary tract infection in 3 cases, 2 cases of gastrointestinal bleeding, hyperthyroidism and lung cancer