【摘要】 目的通过对急性病毒性肝炎病例进行血清学分型,了解报告诊断肝炎型别与实验室诊断的符合情况。方法随机选取2011年传染病疫情信息系统中的病毒性肝炎255例,用酶联免疫吸附实验检测抗HAV-IgM、HBsAg、抗HBc-IgM、抗HCV、抗HEV-IgM。结果 255例中经实验室检测核实诊断196例,符合率为76.86%;甲肝符合率为4.76%;乙肝符合率96.73%;丙肝符合率37.84%;戊肝符合率81.08%;未分型肝炎符合率42.86%。结论各级医疗机构对乙肝和戊肝的诊断准确率较高,其他型别的肝炎诊断准确率相对较低。徐州地区多数医疗机构仅仅开展乙肝的实验室检测,绝大多数一级医疗机构对于其它型别的病毒性肝炎,尤其是甲型肝炎的诊断存在着一定的随意性。可以通过增加投入、加强培训等多种措施提高实验室诊断水平。更多还原

【Abstract】 Objective To understand the difference between clinical diagnosis and laboratory diagnosis by serological typing tests of acute viral hepatitis.Methods A total of 255 of reported clinical cases from "China Information System for Disease Control and Prevention Disease" 2011 were chosen randomly,and the sera of them were tested with anti-HAV IgM,HBsAg,anti-HBc IgM,anti-HCV,and anti-HEV IgM by ELLISA.Results Among the 255 cases,196 were identified and the whole diagnostic accordance rate was 76.86%;the diagnostic accordance rate of HAV was 4.76%;the diagnostic accordance rate of HBV was 96.73%;the diagnostic accordance rate of HCV was 37.84%;the diagnostic accordance rate of HEV was 81.08%;the diagnostic accordance rate of unclassified was 42.86%.Conclusions The diagnostic accordance rates of HBV and HEV are higher than others.Most medical institutions in Xuzhou City only test HBV of hepatitis patient.Except HBV,most first-level hospitals are so arbitrary in hepatitis diagnosis,especially HAV.The medical institutions should enhance the level of laboratory diagnosis by some means,such as adding input,strengthen training,etc.更多还原