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慢加急性乙型肝炎肝衰竭并发症与预后的关系研究
引用本文:洪亮,叶志勇,孙庆丰,丁继光,付荣泉,吴金国,杜庆玮,陈威,王晓峰.慢加急性乙型肝炎肝衰竭并发症与预后的关系研究[J].中国微生态学杂志,2011,23(9):829-831.
作者姓名:洪亮  叶志勇  孙庆丰  丁继光  付荣泉  吴金国  杜庆玮  陈威  王晓峰
作者单位:1. 温州医学院附属第三医院感染科,浙江温州,325000
2. 温州市中心血站,浙江温州,325000
摘    要:目的探讨慢加急性乙型肝炎肝衰竭并发症与预后的关系,为临床上预后判断和有效治疗提供重要依据。方法回顾性分析2002年7月至2004年12月北京地坛医院收治的206例慢加急性乙型肝炎肝衰竭患者。结果慢加急性乙型肝炎肝衰竭最常见的并发症是肝性脑病(HE)、肝肾综合征(HRS)、消化道出血(GB)和继发细菌感染(SBI),HE组与无HE组好转率分别是6.9%和55.5%,HRS组与无HRS组好转率分别是0和58.9%,GB组与无GB组好转率分别是9.7%和40%,SBI组与无SBI组好转率分别是27.6%和54.1%,以上各组比较P值均≤0.001,差异有统计学意义。结论慢加急性乙型肝炎肝衰竭并发症的出现预后差,临床上预防、早期诊断和有效治疗并发症,能有效改善预后,应引起临床工作者更大重视和关注。

关 键 词:乙型肝炎  慢加急性肝衰竭  慢性重型肝炎  并发症  预后

Relationship between complications and prognosis of acute-on-chronic hepatitis B liver failure
HONG Liang,YE Zhi-yong,SUN Qing-feng,DING Ji-guang,FU Rong-quan,WU Jin-guo,DU Qing-wei,CHEN Wei,WANG Xiao-feng.Relationship between complications and prognosis of acute-on-chronic hepatitis B liver failure[J].Chinese Journal of Microecology,2011,23(9):829-831.
Authors:HONG Liang  YE Zhi-yong  SUN Qing-feng  DING Ji-guang  FU Rong-quan  WU Jin-guo  DU Qing-wei  CHEN Wei  WANG Xiao-feng
Affiliation:HONG Liang1,YE Zhi-yong2,SUN Qing-feng1,DING Ji-guang1,FU Rong-quan1,WU Jin-guo1,DU Qing-wei1,CHEN Wei1,WANG Xiao-feng1(1.Department of Infectious Disease,the Third Affiliated Hospital of Wenzhou Medical College,Wenzhou 325000,China,2.The Central Blood Bank of Wenzhou,China)
Abstract:Objective To discuss the relationship between complications and prognosis of acute-on-chronic hepatitis B liver failure,and provide a reference for clinically effective treatment.Method 206 patients with acute-on-chronic hepatitis B liver failure treated in Beijing Ditan Hospital from July,2002 to December,2004 were analyzed retrospectively.Result The most common complications of acute-on-chronic hepatitis B liver failure were Hepatic encephalopathy,Hepatorenal syndrome,Gastrointestinal bleeding and Seconda...
Keywords:Hepatitis B  Acute-on-chronic liver failure  Chronic severe hepatitis  Complications  Prognosis  
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