目的:分析戊型肝炎的临床特点.方法:回顾性分析32例戊型肝炎患者的临床特点和生化指标差异.结果:所有戊型肝炎患者中黄疸30 例,发热5 例,无症状 1 例,抗-HEV IgM 阳性 16 例,抗-HEV IgG 阳性24 例,两抗体均阳性者2 例,重叠乙肝 2 例.结论:戊型肝炎以老年多发,以急性黄疸型为主,春季为多发季节,同时检测抗-HEV IgM和抗-HEV IgG抗体以免漏诊和误诊,预后良好.%Objective: To analyze the rliniral rhararteristics of hepatitis E. Methods : Retrospective analysis was performed in 32 rases oi hepatitis E regarding the rliniral features and differences in laboratory findings. Results : Jaundice was seen in 30 cases, fever in 5 and asymptomatic carri-er in 1. Oi the total 32 rases, 16 were positive for HEV IgM antibodies and 24 ior HEV IgO antibodies. Two cases were positive ior the two antibodies, and another 2 were associated with hepatitis B. Conclusion : Hepatitis E occurs more often in the elderly, presenting with acute jaundice and higher seasonal prevalence in spring. Detection of both antibodies of HEV IgM and HEV IgC can prevent from missed diagnosis and misdiagnosis. Prognosis for this disease is better in general.
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