RETROSPECTIVE ANALYSIS OF FATAL OUTCOMES IN PATIENTS WITH PARENTERAL VIRAL HEPATITIS
The purpose: to analyze fatal outcomes in patients with parenteral viral hepatitis. Conducted analysis of inpatient medical records of 15 patients who died in Regional clinical infectious hospital in the period from 2009 to 2019. The study of history of the disease the main causes of death of patients with a confirmed diagnosis of viral hepatitis; the most common clinical manifestations; identified aggravating factors contributing to the development of severe course of this disease and complications of the disease; the mechanisms and timing of development of hepatic encephalopathy; analyzed the severity of laboratory syndromes. Among persons who died of parenteral viral hepatitis was dominated by males who are unemployed. The average age of the deceased was 38±2.1 years. Factors contributing to the further development of a severe course of the disease with a fatal outcome were identified: late treatment for medical help (53,3%); presence of concomitant pathology (73.2%), abuse of strong alcoholic beverages (40%). The causes of death established by the results of a pathoanatomic autopsy were: fulminant course of viral hepatitis (26.6%), brain edema (33.3%) and complications that occurred against the background of cirrhosis of the liver (40%): hepatorenal syndrome (33.3%) and gastrointestinal bleeding (66.7%).