急性重型病毒性肝炎治疗体会

目的探讨急性重型病毒性肝炎临床抢救成功率的相关因素。方法13例应用保肝支持治疗、肾上腺皮质激素、利胆药纠正淤胆等措施治疗的急重肝炎患者为治疗组，14例常规治疗者为对照组，对比两组治疗疗效。结果治疗组经综合治疗后临床治愈好转率92．3％，高于对照组治愈好转率71．4％。治疗组生化指标、凝血功能恢复好于对照组。结论急性重型肝炎经过精心治疗，病死率低于20％。所以，为提高治愈好转率，按照保肝治疗原则、激素应用原则、抗生素应用原则、治疗淤胆用药等原则治疗急性重型肝炎。

Treatment of acute severe viral hepatitis

Objective To study the acute severe viral hepatitis clinical success rate related factors.Methods All 13 cases of acute liver disease liver(treatment group) were treated with support therapy,application of adrenal cortical hormone,cholagogue corrected cholestatic and other measures.14 conventional treatment for the control group,and the efficacy were compared.Results The treatment group by comprehensive therapy clinical cure rate 92.3%,which was higher than the control group recovered rate 71.4%.Indexes of biochemistry and coagulation function in treatment group were better than that in control group.Conclusion Acute severe hepatitis after careful treatment,fatality rate should be lower than 20%.In order to improve the healing rate,use the principle of presented with and liver protection therapy principle,hormone application principles,principles of use of antibiotic drugs in treatment of cholestatic in treatment of acute severe hepatitis