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登革热肝炎:发生率,频谱和结果

Ritesh Prajapati^1,2, Rajiv Mehta^3,4, Mayank Kabrawala^3,4

¹Department of Gastroenterology, Surat Institute of Digestive Sciences, Majura Gate, Ring Road, Surat, 395 002, India. riteshprajapati87@gmail.com.

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology

|June 19, 2023

概括

登革热肝炎影响印度11.9%的登革热患者,严重病例和休克预测死亡率更高. 多器官衰竭是这些患者的主要死亡原因.

科学领域:

传染性疾病传染性疾病
肝病学肝病学是一种肝病学.
关键护理医学关键护理医学

背景情况:

登革热感染在印度很普遍,但有关登革热肝炎的数据有限.
了解登革热肝炎对于管理严重登革热病例至关重要.

研究的目的:

为了确定登革热肝炎的发病率,频谱和结果.
确定与登革热肝炎患者死亡率相关的因素.

主要方法:

在印度西部两个三级医院 (2016-2021) 住院的肝炎登革热患者的回顾性分析.
登革热感染通过血清学诊断;登革热肝炎和严重程度按标准标准分类.

主要成果:

在1664名登革热患者 (199例) 中,登革热肝炎发病率为11.9%.
观察到严重的登革热 (50%),严重的登革热肝炎 (36%) 和急性肝衰竭 (4%).
死亡率为17% (33人死亡),多器官衰竭是最常见的原因;休克独立预测死亡率.

结论:

登革热肝炎是印度登革热感染的重要并发症,死亡率为17%.
严重的登革热,休克和急性肝衰竭与增加的死亡率有关.
迅速识别和管理冲击对于改善登革热肝炎的结果至关重要.

关键词:

严重的肝衰竭是急性肝衰竭.登革热是因为登革热.登革热出血性发烧登革热出血性发烧登革热肝炎是一种肝炎.费里氨酸 (Ferritin) 是一种铁素.血细胞灭菌症 (hemophagocytosis) 是一种导致血细胞灭菌症的疾病.乳酸脱酶的使用方法死亡率死亡率死亡率预测标志物预测标志物严重的登革热.

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