Mörl M
Fortschr Med. 1977 Mar 17;95(11):734-8.
The classification of chronic hepatitis in a chronic persistent and a chronic aggressive form, the latter with mild or strongly inflammatory activity, has proven valid and had been widely accepted. The long-term therapy of the chronic persistent form (to be confirmed histologically several times) consists merely in a basis-therapy (diet, abstinency from alcohol, physical rest, vitamins). With same caution chronic aggressive hepatitis with little activity is being treated. Rival therapeutic measures for forms with a strongly inflammatory activity are only corticosteroids alone or in combination with azathioprine as well as D-penicillamine in small quantities.
慢性肝炎分为慢性持续性和慢性活动性两种类型,后者具有轻度或强烈的炎症活动,这一分类已被证明是有效的,并已被广泛接受。慢性持续性肝炎的长期治疗(需多次组织学确认)仅包括基础治疗(饮食、戒酒、身体休息、维生素)。对于活动度小的慢性活动性肝炎也同样谨慎治疗。对于炎症活动强烈的类型,相互竞争的治疗措施只有单独使用皮质类固醇或与硫唑嘌呤联合使用,以及小剂量的青霉胺。