舟山海岛病毒性肝炎病原学与临床类型关系的研究

目的 了解舟山海岛地区病毒性肝炎病原分布与临床类型的关系。方法 收集1999年1月～12月住院的病毒性肝炎594例患者血清 ,采用ELISA法检测甲、乙、丙、丁、戊、庚型肝炎病毒血清标志物 ,临床分型诊断按照1995年全国肝炎会议方案[1]。结果舟山海岛甲、乙、丙、丁、戊、庚型肝炎分别占26.9 %、82.83 %、0.51 %、3.70 %和1.01 % ,重叠感染占5.73% (其中丁肝占1.18 % ) ,未定型3.53 %。临床诊断急性肝炎、慢性肝炎、重型肝炎、瘀胆型肝炎和肝炎肝硬变分别占14.81 %、74.24 %、2.36%、1.35 %和7.24 %。结论 舟山海岛存在甲、乙、丙、丁、戊、庚型肝炎 。

Objective To understand the relationship between viral hepatitis distribution and the clinical types. Methods 594 cases were collected from January 1999 to December 199 and hepatitis antigens and antibodies were examined with ELISA. Clinical types were based on the standard set at the National hepatitis conference in 1995. Results The occurrence rates of hepatitis a,b,c,d,and e were 26.9%, 82.83, 0.51%, 3.70% and 1.01%. Superinfection accounted for 5.73%. Conclusion Hepatitis a, b, c, d and e existed in Zhoushan Island, mosy of which was hepatitis B .