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朱永红, 李奎, 庄辉, 徐国民, 姚祯, 翟琦, 江家骥, 李盛, 唐荣兰. 急性散发性戊型肝炎的临床和流行病学特点分析[J]. 中国公共卫生, 2002, 18(2): 189-190. DOI: 10.11847/zgggws2002-18-02-40
引用本文: 朱永红, 李奎, 庄辉, 徐国民, 姚祯, 翟琦, 江家骥, 李盛, 唐荣兰. 急性散发性戊型肝炎的临床和流行病学特点分析[J]. 中国公共卫生, 2002, 18(2): 189-190. DOI: 10.11847/zgggws2002-18-02-40
ZHU Yong-hong, LI Kui, ZHUANG Hui, . Clinical and Epidemiological Features of Acute Sporadic Hepatitis E[J]. Chinese Journal of Public Health, 2002, 18(2): 189-190. DOI: 10.11847/zgggws2002-18-02-40
Citation: ZHU Yong-hong, LI Kui, ZHUANG Hui, . Clinical and Epidemiological Features of Acute Sporadic Hepatitis E[J]. Chinese Journal of Public Health, 2002, 18(2): 189-190. DOI: 10.11847/zgggws2002-18-02-40

急性散发性戊型肝炎的临床和流行病学特点分析

Clinical and Epidemiological Features of Acute Sporadic Hepatitis E

  • 摘要: 目的 探讨急性散发性戊型肝炎临床和流行病学特点。方法 收集我国6城市传染病院或综合医院传染科急性散发性肝炎729例,应用酶联免疫法(ELISA)检测抗-HAVIgM、HBsAg、抗-HBcIgM、抗-HCV和抗-HEV.结果 729例急性散发性肝炎中,12.3%(90/729)为戊型肝炎。93.3%(84/90)急性散发性戊型肝炎患者的年龄为20~59岁。男性多于女性,男女之比为5:1.80%(72/90)病例发生在上年11月至次年5月。在发病前2月内,47.6%(40/84)患者有在外就餐史,32.1%(27/84)有出差史,22.6%(19/84)有饮生水史。随访84例患者,2例(2.4%)死亡,82例(97.6%)康复,无一例发展为慢性。结论 在急性散发性肝炎中,戊型肝炎占12.3%,其主要临床和流行病学特点类似流行性戊型肝炎。

     

    Abstract: Objective To study clinical and epidemilological features of acute sporadic hepatitis E.Methods Seven hundrud and twenty-nine sera of patients with acute sporadic hepatitis were collected form 6 cities of China,and detected for anti-HAV IgM,HBsAg,anti-HBc IgM,anti-HCV and anti-HEV by enzyme linked immunoassays.Results Of 729 patients with acute sporadic hepatitis tested,12.3%(90/729)were hepatitis E.sporadic hepatitis E cases of 93.3%(84/90) occurred in the 20-59 age group,with male predominance.The male to female ratio was 5B1.Eig htypercent(72/90)cases occurred from November to May.Fourty-seven point six percent(40/84)patients had meals in small restaur ants,and 32.1% (27/84)had a business trip and 22.6%(19/84)had drinking unboiled water within 2 months before onset of the disease.Of 84 sporadic hepatitis E patients followed up for 6 months,82(97.6%)were recovered and 2(2.4%)died.Conclusion Sporadic hepatitis E accounted for 12.3% of acute viral hepatitis cases.The major clinical and epidemiological feature of the diesae is similar to that of epidemic hepatitis E.

     

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