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目的分析缺氧性及病毒性肝炎的临床特点。方法选取我院2014年2月-2015年2月收治的缺氧性肝炎患者113例(缺氧组)及病毒性肝炎病患113例(病毒组)。对其临床资料实施回顾式分析处理,对比其临床特点。结果缺氧组病患出现恶心、黄疸、肝脏肿胀等症状的发生率明显低于病毒组,2组患者的ALT、AST及DBIL均高于正常值,缺氧组的LDH也高于正常值。病毒组的ALT指标高于AST指标值,而缺氧组的ALT指标低于AST指标值。缺氧组的ALT、AST在发病48h达最高峰,消除诱因后72h的指标下降速度超过50%。而病毒组的肝酶指标下降速度较快,在入院后的72h指标下降幅度较小或保持不变。结论缺氧性及病毒性肝炎的临床症状表现存在差异,加强对两者临床特点的分析,可为临床疾病的确诊提供帮助。
Objective To analyze the clinical features of hypoxia and viral hepatitis. Methods A total of 113 patients with hypoxemic hepatitis (hypoxia group) and 113 patients with viral hepatitis (virus group) were enrolled in our hospital from February 2014 to February 2015. The clinical data were retrospectively analyzed and compared with the clinical features. Results The incidence of nausea, jaundice, liver swelling and other symptoms in patients with hypoxia was significantly lower than those in the virus group. ALT, AST and DBIL in both groups were higher than normal and LDH in hypoxia group were higher than normal. The ALT index of the virus group was higher than the AST index value, while the ALT index of the hypoxia group was lower than the AST index value. In hypoxia group, ALT and AST peaked at 48h, and the index decreased more than 50% after 72h. The viral group of liver enzyme index decreased rapidly, 72h after admission decreased less or remain unchanged. Conclusion The clinical manifestations of hypoxia and viral hepatitis are different, and strengthening the analysis of the clinical features may provide help for the diagnosis of clinical diseases.