老年病毒性肝炎62例临床分析

本文分析62例老年病毒性肝炎。曾查感染标志者42.4%为乙型肝炎,仅1例为甲型肝炎。重症、慢性、瘀胆性分别为24.2%,25.8%,12.9%,均显著高于其他年龄组肝炎。83.9%为黄疸性,部份病例曾疑为肝外梗阻.61.3%有并发症。发生肝昏迷、上消化道大出血、原发性腹膜炎或肝肾综合征者大多病死。病死率为19.4%,远较其他年龄组肝炎高。提示老年人原因未明的不完全梗阻性黄疸宜先进行内科治疗。老年病毒性肝炎应注意加强综合治疗、预防和及时控制并发症。

A CLINICAL ANALYSIS OF 62 AGED PATIENTS WITH VIRAL HEPATITIS

Sixty-two aged Patients with hepatitis were analysed cliniclly.In 33 patients whose infesions marker had been assayed,42.4% cases were of hepatitis B,and only 1 case Was of heptitis A.The rates of serious,chronic and eholestasis type were 24.2%,25.8%,12.9% respectively,which Were significantly higher than those in other age groups.83.3% cases reveal jaundice,some patients were suspected of having exohepatic obstructiob. Complications occured in 61.3% cases.Most patients complicated with hepatic coma,upper gastrointestinal bleeding,primary peritonitis or hepatonephric syndrome died.The case fatality rate was 19.4%,obviusly higher than that in other groups.It is suggested that the incompletely obstructive jaundice in aged patient should fist be treated with drugs,besides,the intensive combined therapy,the prevention and timely control of complications are necessary in the treatment of aged patient with viral hepatitis.