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总结该院近3年老年病毒性肝炎中戊型肝炎病毒感染占52.9%,明显高于非老年组的17.9%,老年戊肝病毒感染的临床类型大部分表现为急性黄疸型肝炎(88.9%),小部分在慢性肝病基础上急性发病(11.1%),其病原类型77.8%为单独戊肝病毒感染,合并其它肝炎病毒感染占22,2/。老年急性戊型肝炎的临床特点:(1)平均血胆红素水平及重度黄疸发生率均明显高于非老年组(P<0.01);(2)血清白蛋白降低及球蛋白升高的发生率均明显高于非老年组(P<0.01);(3)夹杂症多;(4)病死率高为5.7%。
In conclusion, the incidence of hepatitis E virus infection in elderly patients with viral hepatitis in the past three years was 52.9%, significantly higher than that in non-elderly patients (17.9%). Most of the clinical types of hepatitis E virus infection were acute jaundice hepatitis (88.9%). A small proportion of patients were acutely infected (11.1%) on the basis of chronic liver disease. 77.8% of them were infected with HEV alone. Other hepatitis virus infections accounted for 22.2%. The clinical features of acute hepatitis E in the elderly were as follows: (1) The average level of serum bilirubin and severe jaundice were significantly higher than those in the non-elderly group (P <0.01); (2) Serum albumin and globulin were elevated Were significantly higher than those in the non-elderly group (P <0.01); (3) more complications; (4) high mortality rate of 5.7%.