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由于儿童的解剖和生理特点,当患急性病毒性肝炎(AVH)时,多发生肝肿大。且在临床症状消失、黄疸消退、肝功能已恢复正常的恢复期,仍有很大一部分患儿肝仍肿大。本文试图通过临床分析,探讨恢复期肝大的诸因素,为防治儿童病毒性肝炎提供参考。对象和方法据1981年全国小儿病毒性肝炎防治座谈会纪要制订的标准,以1982～1985年我院收治的儿童AVH307例为对象。男191例,女116例;年龄<3岁48例,3～7岁157例,>7岁者102例。患儿入院后,每两周检测1次BIL、ALT、TTT、A/G,并测1次肝脏大小。凡符合下列条件,肝脏大小超过正常标准者为肝大:①正常婴儿可在右锁骨中线肋下2cm处触及,4
Due to the anatomical and physiological characteristics of children, hepatomegaly frequently occurs when suffering from acute viral hepatitis (AVH). And disappear in clinical symptoms, jaundice subsided, recovery of liver function has returned to normal, there is still a large part of the liver is still swollen. This article attempts to through clinical analysis to explore the recovery of liver factors, provide a reference for the prevention and treatment of viral hepatitis in children. Subjects and methods According to the national pediatric viral hepatitis prevention and treatment of 1981 summary of the meeting to develop standards to 1982 to 1985 in our hospital treated children with AVH 307 cases as the object. There were 191 males and 116 females; 48 were aged <3 years, 157 were aged 3 to 7 years and 102 were> 7 years old. Children admitted to the hospital, once every two weeks testing BIL, ALT, TTT, A / G, and measured the size of the liver. Where meet the following conditions, liver size than the normal standard for liver: ① normal infants can be in the right clavicle 2cm ribs at the bottom of the reach, 4