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病毒性肝炎(下称肝炎)并发急性溶血,国内外报道不多,现将我院1970年以来资料较为完整的35例报告如下。临床资料男28例,女7例。年龄3～35岁,13岁以下儿童25例,占71.43％。有个人溶血史者23例,有家族溶血史者6例。祖籍有记录的20例,均为广东省。16例肝脏肿大在肋下3厘米以上,最大1例达8厘米,较一般肝炎肝肿大突出。脾肿大9例,腹水9例,其中3例伴Ⅱ度以上肝昏迷。肾功能损害5例,表现为少尿,非蛋白氮升高(53～212毫克％)。肉眼血红蛋白尿12例,尿潜血试验阳性8例。
Hepatitis virus (hereinafter referred to as hepatitis) complicated by acute hemolysis, few reports at home and abroad, now our hospital since 1970, the data is more complete report of 35 cases are as follows. Clinical data of 28 males and 7 females. Age 3 to 35 years old, 25 children under the age of 13, accounting for 71.43%. There are 23 cases of personal hemolytic history, there are 6 cases of family history of hemolysis. Native records of 20 cases, both in Guangdong Province. 16 cases of liver enlargement in the ribs more than 3 cm, the largest one case up to 8 cm, more prominent than the general hepatitis hepatomegaly. Splenomegaly in 9 cases, 9 cases of ascites, of which 3 cases with degree II or more hepatic coma. 5 cases of renal dysfunction, showed oliguria, elevated non-protein nitrogen (53 ~ 212 mg%). Eye hemoglobinuria in 12 cases, urine occult blood test was positive in 8 cases.