首都医科大学学报 ›› 1984, Vol. 5 ›› Issue (3): 228-230.

• 论著 • 上一篇    下一篇

老年病毒性肝炎的临床经过

林秀玉, 李三军   

  1. 北京第二传染病院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1984-07-15 发布日期:1984-07-15

The Clinical Cause of Viral Hepatitis in the Elderly

Lin Xiuyu   

  • Received:1900-01-01 Revised:1900-01-01 Online:1984-07-15 Published:1984-07-15

摘要: 本文收集了两年间住院的老年肝炎45倒,其中急性肝炎42例,急性重症2例,亚急性重症1例,全部均有黄疸,半数以上为中度以上的黄疸。急性肝炎黄疸持续时间平均为38.3天,临床经过顺利,临床过程较先前报告的为好。3例重症肝炎中有2例是急性水肿性肝炎,另1例是亚急性肝坏死,他们全部死亡。而同期收治13例60岁以下的急性水肿性肝炎中存活6例,说明本年龄组的重症肝炎的预后极差。以RPHA法检测HBsAg,仅4例阳性。只有一例有输血史,推想在这一年龄组中的散发性的非甲非乙型肝炎是值得重视的问题。

Abstract: Forty-five patients with viral hepatitis were hospitalized during the period from January,1981 to December,1982.Forty-two of throe were classified as acute hepa-titis.Two of them were acute severe hepatitis and one of them were severe subacute hepatitis.All of the patients had.jaundice,and most of them had a middle degree jaundice.Duration of the jaundice better than those reported previou-sly.In 3 cases of severe hepatitis liver biopsy was performed.Two out of the three were acute hydro pie hepatitis.The other was suba-cute liver necrosis,they all died. The mortality was 6.67%.At the same time,we had treated 13 cases They were below sixty,and also belonged to acute hydropic hepatitis Seven cases were survived.The prognosis was poor in this age group.HBsAg was detected by R-PHA in four cases Among the forty-five cases only one had a history oftransfusion,so we suppo-sed that the sporadic NANB hepatitis in this age group was an important question.