【摘要】 对抗－ＨＡＶ－ＩｇＭ、ＨＢｓＡｇ和抗－ＨＢｃ－ＩｇＭ均（一）、临床诊断为急性非甲非乙肝炎７２例进一步病原学鉴定。以聚合酶链反应检出乙型和丙型肝炎病毒；血清学包括酶免疫法检测抗－ＨＣＶ、抗－ＨＤＶ－ＩｇＭ、抗ＨＥｖ－ＩｇＧ（Ｇｅｎｅｌａｂｓ）、抗－ＣＭＶ－ＩｇＭ和抗－ＥＢＶ－ＩｇＭ。结果诊断丙型肝炎１７例（２３．６％），戊型肝炎１４例（１９．５％），最多的竟是慢性无症状ＨＢＶ感染的急性活动（３４例，４７．２％），其中合并ＨＣＶ例、ＨＤＶｌ例、ＨＥＶ１０例和自发性活动１７例。因而，我国“急性非甲非乙”肝炎的病原学可能相当复杂。更多还原

【Abstract】 o further identify the aetiologies of 72 cases clinically diagnosed as acute、hepatitis non-A,non-B defined by negative IgM anti-HAV,HBsAg and IgM anti-llBc(Abbott),Hepatits B and C viruses were detected With polymerase chain reacticn, and serologic markers with enzyme-immunoassay including anti-HCV(CP36),IgM anti-HDV,IgG anti-HEV(Genelabs),IgM anti-CMV and IgM anti-EBV,etc. According to lhe results the diagnoses could be made as 17 cases (23.6%)of hepatitis C,14(19.5%)of sporadic hepatitis E,and the most was chronic asymptomatic HBV infection,which was totalled up to 34 cases(47,2%),half being acute spontaneous exacerbation and half combincd with other acute virus hepatitis:6,HDV 1 and HEV 10.There,the aeiologic connotation of so-called acute non-A,non-B hepatitis in China is quite更多还原