西安市459例急性病毒性肝炎住院患者血清学及流行病学调查

A serological and epidemiological survey on 459 cases of acute viral hepatitis

研究西安市急性散发性病毒性肝炎的分布情况.方法:以1993-10至1996-03连续收集的西安市散发性急性病毒性肝炎病例459例作为研究对象,进行血清学分型与流行病学研究.结果:甲肝(HA)占59.26%,乙肝(HB)占11.98%,丙肝(HC)占 6.10%,丁肝(HD)占3.70%,戊肝(HE)占4.36%,庚肝(HG)占3.70%,未能分型者占11.90%,结论;这表明在西安市急性病毒性肝炎中,HA为主要类型.此外,HA的发病年龄较其他各型肝炎为低,多发于秋冬季节,而其余各型肝炎则无明显的季节性.除HE外,各型肝炎均为男性多于女性.各型肝炎病毒的感染形式可以是单一型.亦可以是混合型或重叠型.

To investigate the serological type and epi-demiological characteristics of acute viral hepatitis in Xi'an city. Methods: A total number of 459 hospitalized patients who were clinically diagnosed as acute viral hepatitis,admitted from Oct 1993 to March 1996 in five hospitals, were studied using ELISA in this paper. Results; Among them:HA (hepatitis A)accounted for 59. 26% ,HB ( hepatitis B )11. 98% , HC (hepatitis C) 6. 10% ,HD(hepatitis D) 3. 70% ,HE(hep-atitis E) 4. 36% and HG(Hepatitis G) 3. 70% ,including sin gle infection, mixed infections and super-infections. Conclu sion: It shows that HAV and HBV are the major causes of viral hepatitis in Xi'an. Except HE,male patients predominate over female patients in all other types of hepatitis,especially in HD and HG. HA cases predominantly happen in autumn and winter,while other types of viral hepatitis have no significant seasonal distribution.