Evaluating the prognosis of heavy hepatitis by application of hepatic function index
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摘要: 探讨肝功能综合指标判断重型肝炎的预后 ,按总胆红素×凝血酶原时间延长值÷白蛋白计算 16 0例重型肝炎总胆红素峰值期的肝功能综合指数 ;治愈好转组和恶化死亡组中的急性重型肝炎、亚急性重型肝炎、慢性重型肝炎及三型混合组的肝功能综合指数分别为 118 6 7± 73 5 1、16 6 0 7± 132 10、187 71± 176 6 7、16 3 76± 14 8 73和384 6 7± 36 3 2 4、341 5 9± 2 0 6 86、334 39± 2 4 2 5 6、345 4 4± 2 5 4 4 2 ,两组比较分别为P <0 0 1、<0 0 2、<0 0 1、<0 0 0 1,当肝功能综合指数在 15 0以上时 ,两组病例分布差异最大。肝功能综合指数对判断重型肝炎预后有一定实用价值Abstract: We investigate the hepatic function comprehensive index to evaluate the prognosis of heavy hepatitis. As total bilirubin × extension of original time of clotting blood ÷ serum albumin calculated the hepatic function comprehensive index of serum total bilirubin peak in 160 cases of heavy hepatitis, the hepatic function comprehensive index of the acute heavy hepatitis, subacute heavy hepatitis, chronic heavy hepatitis, the combinating group of the three kinds in group turn to recovery and the group worsen to dead were 118.67±73.51, 166.07±132.10, 187.71±176.76, 163.76±148.73, and 384.67±363.24, 341.59±206.86, 334.39±242.96, 345.44±254.42. compared with group turn to recovery and the group worsen to dead:P<0.01, <0.02, <0.01, <0.001, When the hepatic function index was over 150, the difference of the group was largest. The hepatic function index has some practical valum to heavy hepatitis judging.
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Key words:
- Heavy hepatitis /
- hepatic function index
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[1]中华医学会肝病学分会.病毒性肝炎防治方案[J].中华传染病杂志, 2001, 19 (1) ∶56. [2]郑志雄.凝血酶原活动度变化在重症肝炎与肝硬化失代偿期的意义对比[J].广东医学, 2002, 23 (5) ∶516. [3]叶维法, 钟振义.肝胆病诊断学[M].天津:天津科学技术出版社, 1997∶145-146.
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