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本文总结了128例老年人急性病毒性肝炎的临床特点及随访结果,本组病例平均年龄为62岁,占同期内住院急黄肝炎总病例数的5%,其中暴发性肝炎及亚急性肝坏死23例(18.5%),死亡14例(10.9%),重症肝炎的发病率及死亡率明显较同期内住院的低年龄组为高。老年肝炎临床症状常复杂而严重,容易误诊,本组病例的33.6%住院前误诊为胆道感染、肿瘤或肝
This article summarizes the clinical features and follow-up of 128 elderly patients with acute viral hepatitis, the average age of patients in this group is 62 years, accounting for 5% of the total number of hospitalized patients with acute hepatitis in the same period, of which fulminant hepatitis and subacute hepatic necrosis 23 cases (18.5%) and 14 deaths (10.9%). The incidence and mortality of severe hepatitis were significantly higher than those in the lower age group hospitalized in the same period. Clinical symptoms of elderly hepatitis often complicated and serious, easy to misdiagnosis, 33.6% of the patients in this group were misdiagnosed as biliary tract infection, cancer or liver