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The investigators will investigate the clinicopathological features of chronic hepatitis B patients with severe exacerbation selected by uniform criteria, and treated with early introduction or reintroduction of corticosteroids and anti-allergenic therapy, in order to clarify the benefits and limitations of the effects of corticosteroids and anti-allergenic therapy for amelioration of clinically severe exacerbation of chronic hepatitis B. The investigators also observe the immune index in the change before and after the treatment, in order to searching for some prognostic index.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| glucocorticoid treatment group | Experimental |
| |
| conventional treatment | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| methylprednisolone | Drug | methylprednisolone 1mg/kg intravenous drip qd,for 3 days glucocorticoid |
|
| Measure | Description | Time Frame |
|---|---|---|
| survival rate | eight weeks | |
| liver function | ALT,albumin,bilirubine, | eight weeks |
| HBV-DNA | eight weeks | |
| prothrombin activity | eight weeks | |
| Child-Pugh degree | eight weeks | |
| model for end-stage liver disease | eight weeks |
| Measure | Description | Time Frame |
|---|---|---|
| length of patient stay | eight weeks | |
| hospitalization costs | eight weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhe-bin Wu, resident physician | Contact | 13751743264 | wzbice1982@sohu.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhi-liang Gao, professor | Deparment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-sen University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Deparment of Infectious Diseases, the Second Affiliated Hospital of Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | 020 | China |
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| ID | Term |
|---|---|
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
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