Paliard P
Presse Med (1893). 1979 Dec 10;8(48):3965-8.
Every case of hepatitis must be defined as far as possible on the basis of four reference criteria: aetiological, clinical presentation, histological and course. Each criterion offers information concerning the classification, severity and course of the disease. The use of these criteria makes it possible to avoid all errors of interpretation and to avoid imprecise terminology, a typical example of which is "subacute hepatitis" which for some implies severe acute hepatitis running a prolonged course and for others the existence of confluent necrosis without it being possible to say whether this should be classified amongst cases of acute hepatitis or chronic hepatitis. The terms acute and chronic should retain their clinical significance, the term aggressive should retain a histological significance and, insofar as the piecemeal necrosis which characterises it is seen in both types of hepatitis, it should be dissociated, in terms of classification, from chronic hepatitis.
病因、临床表现、组织学和病程。每个标准都提供了有关疾病分类、严重程度和病程的信息。使用这些标准能够避免所有解释上的错误，并避免不精确的术语，典型的例子就是“亚急性肝炎”，对一些人来说它意味着病程延长的严重急性肝炎，而对另一些人来说它意味着存在融合性坏死，但却无法确定这应归类于急性肝炎病例还是慢性肝炎病例。急性和慢性这两个术语应保留其临床意义，侵袭性这个术语应保留组织学意义，并且就其特征性的碎片状坏死在两种类型的肝炎中都可见而言，在分类方面，它应与慢性肝炎区分开来。
