散发性戊型肝炎和散发性甲型肝炎临床比较

目的：了解散发性戊型肝炎（ＨＥ）和散发性甲型肝炎（ＨＡ）的差别。方法：对４２例ＨＥ和７０例ＨＡ的临床资料进行比较。结果：ＨＥ与ＨＡ相比，其发病年龄以青壮年为主（Ｐ〈０．０１）血清总胆红素（ＴＢｉｌ）、谷丙转氨酶（ＡＬＴ）、谷草转氨酶（ＡＳＴ）水平高（Ｐ〈０．０１），黄疸持续时间及住院时间长（Ｐ〈０．０１），重型肝炎发生率高（Ｐ〈０．０５）。结论：ＨＥ未成年患者发病少见，肝细胞损害较ＨＡ明显，预后差

Clinical Comparison between Sporadic Hepatitis E and Hepatitis A

Objective:To study the difference between hepatitis E and hepatitis A.Method:To analyze the clinical data of 42 cases of hepatitis E and 70 cases of hepatitis A.Results:Comparison with hepatitis A,puber and postadolescent were main invaded population of hepatitis E;the levels of total bilirubin,glutamic pyruvic transaminase and glutamic oxalacetic transaminase were higher(P<0.01);the time of jaundice and hospitalization were longer(P<0.01)and the incidence rate of severe hepatitis was higher in hepatitis E patients (P<0.05).Conclusions:The results showed that hepatitis E in under adult was rare.That the damage of liver cell in hepatitis E was more patent than that of hepatitis A and there was a poor prognosis in hepatitis E.Chronic hepatitis B concurrent infected hepatitis E was an important factor of severe hepatitis E forming.