Clinical analysis of 79 patients with subacute liver failure
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摘要: 目的分析79例亚急性肝衰竭患者的临床特征、预后及特殊治疗对预后的影响。方法收集2004年1月~2010年1月北京地坛医院收治的亚急性肝衰竭病例共79例,对其性别、年龄、病因、并发症、预后及特殊治疗方法进行归纳总结。结果 79例患者中,男性60例,女性19例,平均年龄(47.59±19.01)岁,最常见的病因为戊型肝炎病毒(HEV)感染(43.04%),其次为HBV感染(27.85%)。发生率最高的3类并发症依次为腹水、腹腔感染、肝性脑病,与死亡明显相关的并发症为肝肾综合征及肝性脑病。本组资料的病死率约为18.99%。结论亚急性肝衰竭好发于男性及40岁以上人群,病死率较高。HEV感染是本组资料中最常见的致病因素,腹水、腹腔感染为最常见的并发症,肝肾综合征是最常见的致死因素。Abstract: Objective To analyse the clinical features and prognosis of 79 patients with subacute liver failure, and evaluate the efficacy of several special therapies.Methods We collected 79 cases of subacute liver failure in Beijing ditan hospital during 2004-2010, and retrospectively analysed the gender, age, etiology, complication, treatment and outcome.Results 60 cases of these patients were male while 19 were female.The mean age was 47.59 ±19.01 years old.The most common etiology was HEV infection (43.04%) , followed by HBV infection (27.85%) .The most common complications were ascites, celiac infection, hepatic encephalopathy, hepatorenal syndrome and hepatic encephalopathy were significantly associated with death.The mortality of these cases was 18.99%.Conclusion Subacute liver failure is more likely to occur in men and people over 40 years old, with a high mortality.HEV is the most common etiology of subacute liver failure.Ascites and celiac infection are the most common complications, while hepatorenal syndrome is the most common cause of death.
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Key words:
- liver failure /
- hepatitis E
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