婴儿肝炎综合征42例临床分析

目的总结婴儿肝炎综合征的病因、临床表现、治疗与预后。方法对42例肝炎综合征患儿临床表现进行分析，检测血巨细胞病毒、乙型肝炎病毒、细菌培养及相关生化指标。结果42例均有肝功能损害及黄疸，血巨细胞病毒感染20例，乙型肝炎病毒感染6例，虮培养有葡萄球菌生长3例，经中西医综合治疗，治愈率95％（37／39），3例失访。结论婴儿肝炎综合征的主要病因为巨细胞病毒、乙型肝炎病毒、细菌感染，临床表现主要为肝功能损害、黄疸，经综合治疗预后较好。

Clinical analysis of 42 cases with infantile hepatitis syndrome

Objective To summarize the etiologies of infant hepatitis syndrome,clinical presentation,treatment and prognosis.Methods The clinical symptoms of 42 cases with infantile hepatitis syndrome were observed and the blood cytomegalovirus,hepatitis B virus,cell culture and a series of related biochemical parameters were examined.Results All of patients' liver have been damaged and have jaundice,blood CMV infection accounted for 48%( 20/42 ),hepatitis B virus,accounting for 14% (6/42),blood cultures have staphylococcus up to 7% ( 3/42 ).After combining Chinese and Western medicine treatment,the sufferers restore to health,cure rate up to 95% (37/39),3cases were lost.Conclusion The infant hepatitis syndrome originate from the infections of the blood cytomegalovirus,hepatitis B virus and bacterial infection,whose clinical manifestations are infant liver damaged and jaundice.We have a better prognosis on infantile hepatitis syndrome and the result of combining Chinese and Western medicine treatment is good.