论文部分内容阅读
目的 探讨慢性重型肝炎并发症与预后的关系。方法 对解放军 30 2医院 5 2 0例慢性重型肝炎患者进行回顾性临床分析。结果 慢性重型肝炎最常见并发症是腹水、电解质紊乱及自发性腹膜炎 ,发生率均超过5 0 %。并发症中脑水肿和脑疝预后最差 ,无效和病死发生率为 10 0 %,其次为肝肾综合征、上消化道出血和肝性脑病 ,无效和病死发生率均超过 90 %。随着并发症的增多 ,无效和病死发生率升高。肝性脑病的严重程度与病死率密切相关。结论 有效治疗慢性重型肝炎并发症 ,积极防治并减少严重并发症的发生是降低慢性重型肝炎患者病死率的关键。
Objective To investigate the relationship between the complication and prognosis of chronic severe hepatitis. Methods Retrospective clinical analysis of 520 cases of chronic severe hepatitis in 30 2 Hospital of People’s Liberation Army. Results The most common complications of chronic severe hepatitis were ascites, electrolyte imbalance and spontaneous peritonitis, all of which exceeded 50%. Complications of cerebral edema and hernia prognosis of the worst, the incidence of ineffective and death was 10%, followed by hepatorenal syndrome, upper gastrointestinal bleeding and hepatic encephalopathy, the incidence of invalid and died more than 90%. As complications increase, inefficiencies and morbidity increase. The severity of hepatic encephalopathy and mortality are closely related. Conclusion Effective treatment of complications of chronic severe hepatitis, prevention and treatment of serious complications and reduce the incidence of severe chronic hepatitis patients is the key to mortality.