97例慢性重症肝炎生存分析

分析的治疗存活的慢性重型肝炎９７例。结果显示：影响慢性重型肝炎生存率的因素是多方面的。病人年龄、ＰＴＡ、血清胆红素水平及ＴＢ／ＤＢ的影响存活率的重要因素。胆固醇〈１．６ｍｍｏｌ／Ｌ预后好。重叠平素感染会加重病情并影响存活率。胆酶分离末影响慢性重型肝炎的存活率。应结合ＰＴＡ动态观察。严重并发症是导致重症肝炎死亡的主要原因。早期诊断,中西医结合治疗,积极预防和治疗并发症是提高慢性重型肝炎存活率的有铲措

Survival Analysis of the Patients with Chronic Severe Hepatitis

The objective of this study was to evaluate survival factors of the 97 patients with chronic severe hepatitis.The results showed that the more elder,the higher mortalities.The PTa of 83.50% of patients with thrombostest was more than 20%.Serum bilirubin level and a ratio of serum total bilirubin to conjugated were influential on survival of the patients.The opposite levels between serum bilirubin and ALT did not relate to prognosis of the patients with chronic severe hepatitis.Most of the survivors were only infected with hepatitis B virus.Prompt diagnosing,combined treating with Chinese and medicine,adjusting immunity,and adopting vigorous measure to prevent and treat complications were pivotal for increasing the survival of the patients with chronic severe hepatitis.