摘要
目的探讨新疆老年病毒性肝炎患者的临床特点,为临床诊治提供依据。方法回顾性分析360例老年病毒性肝炎患者的临床特点,与同期300例年龄30～59岁的患者进行对照,对二者生化指标进行检测。结果 (1)老年病毒性肝炎患者以黄疸、腹胀、腹痛等症状和体征较多见;(2)病原学分型老年病毒性肝炎患者以病毒性肝炎乙型和丙型为主,重叠感染(13.1%)较多见;(3)老年病毒性肝炎患者的临床分型以肝炎肝硬化(37.8%)、重型肝炎(21.1%)和淤胆型肝炎(10.8%)为主;(4)老年病毒性肝炎患者的并发症以肝细胞癌(34.7%)、原发性腹膜炎(22.8%)、电解质紊乱(31.4%)多见。结论老年病毒性肝炎患者黄疸深,易重症化,并发症和合并症多,死亡率很高。
Objective To explore the clinical features of the virus hepatitis in aged patients and to provide basic evidences for the clinical diagnosis and treatment.Methods Retrospective analysis the clinical char-acter of 360patients and using the youth which the ages are between 30～59in the same term as control group in our hospital,the biochemical indexes have been tested.Results（1）The general symptoms or signs of the patient with the virus hepatitis in old age are the jaundice,abdominal enlargement,and abdominal pain.（2）The sub-types for Most of the virus hepatitis in old age are B and C.And there are（13.1%）of the patients with the overlap infection.（3）There are three main clinical types of hepatitis,which are hepatocirrhosis（37.8%）,heavy hepatitis（21.1%）and hepatitis of cholestasis.（4）The main complications are canceration（34.7%）,primary peritonitis（22.8%）and the electrolyte disorder（31.4%）.Conclusion In this area,most of the virus hepatitis in old age have the following clinical features：the severe jaundice,the severe hepatitis,with complications,the high incidence of grave viral hepatitis.
出处
《新疆医科大学学报》
CAS
2010年第9期1079-1081,共3页
Journal of Xinjiang Medical University
关键词
老年人
病毒性肝炎
临床特点
the elderly
hepatitis virus
clinical features
