慢性乙型重型肝炎预后因素分析

目的：探讨影响慢性乙型重型肝炎（CSHB）预后的危险因素。方法：回顾性分析本院近年来收治的180例CSHB患者的临床资料，分为好转组（75例）及死亡组（105例），记录并对比两组患者的一般资料、临床资料和实验室检查资料，进行统计学分析。结果：患者死亡对比中，患者年龄大于50岁、有吸烟史、合并原发性腹膜炎、其他部位感染、肝性脑病、电解质紊乱、肝癌、血清总胆红素（TBil）升高均是高危因素。结论：二元Logistic回归分析显示对于年龄较大的CSHB患者，可通过采取一些列对症处理因素，控制合并症等方法进行辅助治疗，从而改善患者的预后。

Analysis of Chronic Severe Hepatitis b prognostic Factor

Objective： To study the the dangcrous factors of prognosis of chronic severe hepatitis B （CSHB ）. Method ：Retrospective analysis 180 cases of patients CSHB clinical material, divided into better group 175 cases） and death group （n = 105 ）, recorded and compared to two groups of patients with general information, clinical data and laboratory data. Result： Patients died were older than fifty years old, with a history of smoking, with idiopathic peritonitis, other parts of the infection, hepatic encephalopathy, electro- lyte disorders, liver cancer, serum total bilirubin （TBil）. Conclusion： Binary Logistic regression analysis shows that older patients with CSHB, by taking a series suit processing factors, control methods such as complicated adjuvant therapy, so as to improve the prognosis of patients.