The Patho-morphological Basis of Severe Viral Hepatitis
- VernacularTitle:重型病毒性肝炎的病理形态学基础——Ⅰ、肝脏的病理形态变化
- Author:
Guanghan ZHONG
- Publication Type:Journal Article
- Keywords:
Severe viral hepatitis;
Autopsy;
Pathological changes;
Hepatitis;
Cirrhosis
- From:Journal of Third Military Medical University
1983;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The report deals with autopsies of 30 hospitalized patients with clinical manifestations of severe viral hepatitis (SVH), who died of hepatic failure. Their age ranged from 8-57 years with an average of 27.9. There were 23 males, and 7 females in the group. The duration of the disease varied with different' , individuals, ranging from 1-96 months. Before onset of SVH, 73.3% of the cases had been afflicted with acute hepatitis or CAH. The clinical' course, therefore, was quite different from that .of fulminat variant.The pathological changes in the livers could be classified into 4 different types: subacute necrotic hepatitis (type Ⅰ ), necro-proliferative hepatitis (type Ⅱ), precirrhotic hepatitis (type Ⅲ), and cirrhotic hepatitis (type Ⅳ). Each of the 4types could be delineated with its own morphological features. However, overlaps in between two successional types (e.g. between type Ⅰ -Ⅱ, etc.) existed/morphology. These facts make it reasonable to postulate that each of the 4 types might represent a different stage in the progress of SVH.
