Objective To investigate the clinical characteristic of viral hepatitis complicated fatty liver. Methods To analyze 83 cases with viral hepatitis complicated fatty liver in our hospital from year 2000 to 2002 by patient's clinical rating ,clinical presentations, hepatic function test, hyperlipidemia test, and hepatic fibrosis test.Result In the selected cohort, mild 33 cases, moderate 33 cases, severe 17 cases. Tired, inappetence , and celiopathy are the main clinical presentations. In 83 cases , Major fatty liver make hepatic function test, hyperlipidemia test, and hepatic fibrosis test acosmia severely . Conclusion Viral hepatitis complicated fatty liver damage the hepar sharply.

目的 探讨重型病毒性肝炎(重肝)并发自发性细菌性腹膜炎(SBP)的临床特点及其对重肝的治疗及预后的影响.方法 对44例重肝并发SBP患者的相关病历资料进行逐项登记归纳分析.结果 44例患者中发热31例(70.5%),腹胀39例(88.6%),腹痛15例(34.1%),腹部压痛27例(61.3%),腹部反跳痛14例(31.8%),腹水WBC＞0.5×109/L16例(36.4%),腹水细菌培养阳性6例(13.6%),死亡36例(81.8%).结论 重肝并发SBP的腹膜刺激症状常不典型或缺如,诊断困难,并发SBP可明显加重患者的病情,治疗棘手,病死率高,老年患者更高.

Object To investigate the pathophysiology of severe hepatitis complicated hyponatimiasyndrome.Methods To analyze 26 cases with the severe hepatitis hyponatimia in our hospital from year2001 to 2002 by Patient's clinical rating, clinical presentations, predisposing factors, treatment, andprognoses.Results In the selected cohort, mild 16 cases(62%), moderate 7 cases (27%), severe 3 cases(11%). Disgusted, tired, and vomit are the main clinical presentations. Overdiurese is the leading cause,mechanism of 14 cases responded to Na+ replenish therapy, while 12 died. Conclusion Severe hepatitiscomplicated hyponatrimia syndrome mortality rate is high. Early diagnosis and prompt and propertreatment are crucial for prognoses. Multiple factors may contribute to the formation of the presentedsyndrome and further research is highly recommended to in this area.

Objective To explore the clinical features of SARS and synthetic measures for prevention and treatment.Methods The clinical manifestations,X ray characters,laboratory data and synthetic measures for prevention and treatment of 22 cases in hospital SARS form Feb.,2003 to May,2003 were reviewed.Results 16 cases had close contact history with SARS patients.2 cases had killed animal.The incubation period was from 3 to 12 days.The first symptom of all cases was fever,and 91% was high fever.Other accompanied clinical manifestations included:dyspnea 68%,fatigue 72.7%,systemic pain 27%,headache 50%,diziness 22%,chest pain 31.8%,respiratory catarrhous symptom 13.6%,palpitation 36.4%,diarrhea 18.2%,bloody sputum 9%,chilly sensation 18.2%,sore throat 9%.77% of all cases showed no obvious signs of lung.The features of X ray and CT scan of chest were:single lung focus 36.4%,both lung focuses 63.6%,both lung fields diffuse infiltration shadow 22.7%.2 cases complicated with ARDS.The mortality rate was 4.5%(only 1 case died).72.2% of all cases accepted regular corticosteroid therapy.5 cases accepted non invasive positive pressure ventilation.2 cases accetped invasive mechanical ventilation.No medical worker was infected,no family members of medical workers was infected.There was no cross infection in hospital.Conclusion Reasonable usage of corticosteroid was one of important measures in synthetic treatment scheme.Mechanical ventilation must be used early in severe cases.Standard prevention measures could prevent from infection.