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98例戊型肝炎临床特点分析
作者:吴蓓 朱丽 陈竹 曾义岚 王丽 
单位:成都市公共卫生临床医疗中心 二病区 成都 610066 
关键词:肝炎 戊型 流行病学 临床特点 
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出版年,卷(期):页码:2015,7(2):37-39
摘要:

摘要:目的 研究戊型肝炎的流行病学及临床特征,为其防治积累经验。方法 回顾性分析2011年1月至2013年12月在本院住院治疗的98例戊型肝炎患者的流行病学及临床特征。 结果 本组病例年龄为9~79岁,以青壮年(20~50岁)多见(62/98,占63.27%),且男性多于女性(1.88∶1),全年均可发病,多见于无业及退休居民、工人及农民(82/98,占83.67%),部分患者合并基础疾病(24/98,占24.49%)。检查提示氨基转移酶及胆红素明显升高,病原学检查示抗-HEV-IgM及抗-HEV-IgG双阳性多见(48/98,48.98%)。经治疗后,治愈71例(71.45%),好转25例(25.51%),死亡2例(2.04%)。有1例老年女性患者迁延不愈,病程已达1年。 结论 戊型肝炎发病与年龄、性别、职业及有无基础疾病有关,经过早隔离、早治疗后,预后较好,但同时需警惕戊型肝炎的慢性化进程。

Abstract: Objective To investigate the epidemiological and clinical characteristics of patients infected with hepatitis E virus (HEV) in Chengdu from 2011 to 2013. Methods A retrospective analysis was conducted to investigate 98 patients with HEV infection in our hospital from January 2011 to December 2013 in terms of epidemiological and clinical characteristics. Results Among the 98 patients aged 9 years to 79 years, 63.27% of the cases were young adults (20-50 years old), and male patients numbered more than female ones (1.88∶1). Hepatitis E virus infection occurred throughout the year. The most patients were unemployed or retired residents, workers and peasants, and some were with basic diseases. Examination showed significantly increased level of serum transaminase and bilirubin. After pathogen identified by pharyngeal swab, anti-HEV-IgM and anti-HEV-IgG double-positive was confirmed in 48 patients. After treatment, 71 patients (71.45%) were cured, 25 patients (25.51%) were improved, and 2 patients died (2.04%). There was an old female patient deferred longer than one year. Conclusions The incidence of HEV is related to age, season, profession and basic diseases. Except for few chronicity, early insulation and effective treatment measures may lead to favourable prognosis.

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