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本文回顾性分析了36例慢性重型肝炎患者与预后有关的因素。结果表明,患者年龄>50岁、原患肝硬化、病程中出现肝性脑病、伴顽固性腹水以及深度黄疸(血清胆红素>340μmol/L)、凝血酶原时间明显延长(PT延长逾10秒)等6项指标分别与病死率有关。肝肾综合征为最主要的死亡原因(17/36)。我们认为妥善处理顽固性腹水可能是提高患者生存率的关键。
This article retrospectively analyzed 36 patients with chronic severe hepatitis prognosis-related factors. The results showed that patients aged> 50 years old had cirrhosis, hepatic encephalopathy with persistent ascites and deep jaundice (serum bilirubin> 340μmol / L) and prolonged prothrombin time (PT prolonged more than 10 Sec) and other six indicators were related to mortality. Hepatorenal syndrome is the leading cause of death (17/36). We believe that proper management of refractory ascites may be the key to improving patient survival.