维吾尔族与汉族甲型肝炎临床特征对比分析

目的 探讨维吾尔族甲型肝炎与汉族甲型肝炎患者的临床特征。方法 回顾性分析维吾尔族甲型肝炎患者311例（成人13例，儿童298例），汉族成人甲型肝炎患者29例的临床资料。结果 维吾尔族组年龄（4．1±5．4）岁，明显低于汉族组[（29．2±11．2）岁1。维吾尔族儿童组急性无黄疸型肝炎患者比例（19．8％）高于汉族成人组（3．4％），恶心发生率（28．2％）低于维吾尔族成人组（61．5％）和汉族组（51．7％），总胆红素[46（3-336）μmol／L]亦低于维吾尔族成人组[116（7-182）μmol／L]和汉族组[74（13～229）μmol／L]。维吾尔族儿童组患者发生3例肝衰竭，成人组无肝衰竭发生。结论 维吾尔族甲型肝炎患者以儿童为主．以无黄疸型肝炎为主．年龄小，维吾尔族儿童甲型肝炎患者应警惕出现肝衰竭。

Comparative analysis of the clinical features between Uygur and Han patients with hepatitis A

Objective To analyze the clinical features between Uygur and Han patients with hepatitis A. Methods A retrospective study was carried out to analyze the clinical data of 340 patients with hepatitis A. There were 311 cases of Uygur patients, 29 cases of Han patients. Uygur patients included 13 adults and 298 children. Han patients were all adults. Results The age of Uygur group was （4.1±5.4） years old, which was significantly younger than Han group （29.2±11.2） years old.The incident of acute anieteric hepatitis in Uygur children was 19.8%, which was higher than Han group （3.4%）. The incidence of nausea in the Uygur children group was 28.2%, which was lower than that in Uygur adults （61.5%） and in Han group （51.7%）. The value of T-BIL in Uygur children was 46 （3-336） μmol/L, which was lower than that in Uygur adults [116（7-182）μ mol/L] and in Han group[74（13-229）μmol]. Three cases of liver failure occurred in Uygur children,non in adult. Conclusion Hepatitis A in Uygur patients mainly occurrs in children, and manifests with acute anieterie hepatitis. Uygur children patients should be watched out for liver failure.