甲型与戊型肝炎的临床对比分析

目的 比较甲型肝炎（甲肝）与戊型肝炎（戊肝）的临床特点。方法 用ＥＬＩＳＡ法对７５５例肝炎患者进行甲，乙，丙，戊，庚型肝炎的病原学检测，结果 甲肝和戊肝的检出率分别是１１．１％和９．７％，差异无显著性（Ｐ〉０．０５）而两者在发病年龄，病程，总胆红素及与其他肝炎病毒的重叠或混合感染率方面差异有显著性（Ｐ〈０．０５或Ｐ〈０．０１）。结论 与甲肝相比，该地区戊肝同样常见，戊肝具有发病年龄较大，黄痘较深，

Clinical comparison of hepatitis A with hepatitis E

Objective To compare clinical characteristics in patients with hepatitis A with those of patients with hepatitis E. Methods Serologic markers of 5 kinds of hepatitis viruses were tested in 755 hepatitis patients with ELISA. Results Positive rates of anti HAV IgM and anti HEV IgM were 11 1% and 9 7% respectively. There was not significant statistical difference ( P >0 05). But there were significant differences between hepatitis A and hepatitis E in the age of attack, the course, total bilirubins and rate of co infection or mixed infection with other hepatitis viruses ( P <0 05 or P <0 01). Conclusion Hepatitis E was as common as hepatitis A in this area. Comared with hepatitis A the clinical characteristics of hepatitis E were as follows: older age of attack, more serious jaundice, longer clinical course and higher rate of co infection or mixed infection with other hepatitis viruses.