Haemodialysis-associated hepatitis

Outbreaks of hepatitis have occurred in renal units all over Europe and the U.S.A. and have carried a high mortality.     

Alcoholic hepatitis

Clinical and pathological data from four cases of fatal non-cirrhotic alcoholic hepatitis are presented. The patients were relatively young but had a long history of excessive alcohol intake, and the disease had an acute onset which progressed inexorably to death in hepatic and renal failure.

At autopsy the livers were enlarged but non-cirrhotic. The important histological criteria for the diagnosis of alcoholic hepatitis are a panlobular polymorphonuclear inflammatory cell infiltrate, the presence of Mallory material (alcoholic hyaline) and fine fibrosis surrounding small groups of liver cells. The latter finding may be more marked in the centrolobular zone and result in the picture of central hyaline sclerosis.

     

甲型与戊型肝炎的临床对比分析

目的 比较甲型肝炎（甲肝）与戊型肝炎（戊肝）的临床特点。方法 用ＥＬＩＳＡ法对７５５例肝炎患者进行甲,乙,丙,戊,庚型肝炎的病原学检测,结果 甲肝和戊肝的检出率分别是１１．１％和９．７％,差异无显著性（Ｐ〉０．０５）而两者在发病年龄,病程,总胆红素及与其他肝炎病毒的重叠或混合感染率方面差异有显著性（Ｐ〈０．０５或Ｐ〈０．０１）。结论 与甲肝相比,该地区戊肝同样常见,戊肝具有发病年龄较大,黄痘较深,