急性黄疸型肝炎肝胆声像图特征及与预后之关系

对１６８例急性黄疸型肝炎（急黄肝）患者腹部超声图像进行分析，发现肝脏异常者９９例，胆囊异常８１例，脾大５１例，肝硬化６例。肝异常以肝大居首，次为实质光点增粗，胆囊异常中最多见的是胆囊壁增厚、毛糙，见到小胆囊２１例。从转归分析，肝实质光点增粗并非慢性肝病的特异性改变，在急性肝炎中同样可以出现，与无异常相比，有改变者病程明显长于无改变者；胆囊壁增厚、毛糙，并非慢性细菌性胆囊炎的特异性改变，不需要用抗生

The Relationship between Ultrasound Images of Acute Icterohepatitis and Clinical Prognosis

The ultrasound images of abdomen were andalysed among 168 patients with acute icterohepatitis. 99 of 168 patients with abnormal liver, 81 with abnormal gall, 51 with splenomegaly and 6 with hepatocirrhosis. The abnormal liver was showed that echoes were coarse and bright besides enlargement of the liver, namely, these images do not be specific re-sponses of chronic liver diseases. The abnormal gall was showed that its wall was thicker and coarser, namely, these images do not be specific responses of chronic becterial cholecystitis and these patients need not the antiinfectious treatment, 21 of 81 with abnormal gall were small galls which had cholestasis manifestation and needed longer time to fade the jaundice in clinic.Among 168 Patients, the incidence rate of abnormal ultrasoudn images in hepatitis B and C were more than in hepatitis A, and the recovery ratio of them in the former were less than in the latter, namely, the former with chronic tendency.