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Scripta Scientifica Medica

КЛИНИЧНИ И КЛИНИКО-ЛАБОРАТОРНИ ПРОУЧВАНИЯ ВЪРХУ ПОСЛЕДСТВИЯТА НА ВИРУСНИЯ ХЕПАТИТ

Ив. Цончев, A. Минков, Aл. Станчев

Abstract

The authors studied 1451 subjects with past virus hepatitis illness, dating back 6 months to 20 years ago, distributed into 5 groups according to duration. They employed 29 subjective, lb objective and 33 clinico-laboratory indices. The most frequently met with subjective index (symptom) was pain (in nearly 25%), next ranking discomfort after having meal (11%), breathlessness (9.8%) and reduced working ability (7%). Of the objective symptoms, hepa- tomegalia was the most frequent, established in one fifth of the investigated (19%), followed by telangiectases (5%) and splenomegalia (2.4%). Of the clinico-laboratory indices, the elongated Weltmann band is ranked on first place (45.8%), followed by hypergammaglobulinemia (26.6%) and hyperbilirubinemia (15%).
On the basis of clinical analysis, the cases investigated are distributed into seven clinical categories: cured, uncured, posthepatitis hyperbilirubinemia, posthepatitis syndrome, residual hepatomegalia, chronic hepatitis and posthepatitis hepatic cirrhosis. If the cases with posthepatitis hyperbilirubinemia, residual hepatomegalia and posthepatitis syndrome are assumed as healthy, the percentage of cured patients in the case material reviewed would amount to 90—65 per cent. Clinical and laboratory data, partly proved histologically for chronification of the process in the liver and cirrhosis development were recorded in 4.55% and 0,82% respectively.


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DOI: http://dx.doi.org/10.14748/ssm.v9i0.4766

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Ив. Цончев

A. Минков

Aл. Станчев

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