重症肝炎（Severe hepatitis）.docVIP

重症肝炎（Severe hepatitis） Severe hepatitis Severe hepatitis is a type of viral hepatitis, usually caused by hepatitis a virus, hepatitis b virus or mixed infection. The main lesions are hepatocyte degeneration, large or sublarge or focal liver necrosis accompanied by liver cells with severe edema or large necrosis associated with old and new diseases. The main clinical manifestations are lack of appetite, frequent vomiting, high abdominal distention, high fatigue and high jaundice. The hepatitis a virus is easy to violate the school age children, second for the young, the male and female incidence is basically the same. General distribution is popular, but in the collective unit such as school, day care, kindergarten and so on can be in epidemic, year all can be sick, but the incidence of early autumn is higher. Hepatitis b and its hepatitis are mostly distributed, but there is a certain family of sex, 20 years old - 40 years old young adults more, no obvious seasonal. [key points of diagnosis] I. epidemiology In the near future, there is a history of close contact with hepatitis patients, such as blood transfusion, blood products, acupuncture and moxibustion. A history of water and food contamination should be noted in popular areas. 2. Clinical manifestations Clinical can be divided into acute severe hepatitis, subacute severe hepatitis, chronic severe hepatitis iii, the following: Acute severe hepatitis 1. Previous history of hepatitis. 2. The early onset often similar to acute hepatitis yellow gangrene, but illness development is rapid, nerve symptom onset within 10 d spirit, hepatic encephalopathy Ⅱ degrees above, if not treated actively, often in a few days in a coma. 3. The activity of thrombin was less than 40% and no other reason was found. 4. The liver function was obviously abnormal, especially the serum bilirubin was greater than 171umol/L 5. Liver odor, flutter flutter positive. The voiceless circle of the liver gradually shrinks. 7. Bleeding tendency, ble