【摘要】 目的探讨散发性戊型肝炎的临床特点。方法对108例散发性戊型肝炎的分型、临床表现、血清生化及影像学等进行回顾性分析。结果重叠感染27例(25.0%);临床表现乏力(90.7%)、黄染(86.1%);60岁以上组血清谷丙转氨酶(ALT)、总胆红素(TBIL)与60岁以下组比较,差异有显著意义(P<0.05),重叠感染组血清TBIL、白蛋白(ALB)、γ-谷氨酸转肽酶(GGT)与单纯感染组比较,差异有显著意义(P<0.05);影像学肝脏弥漫性改变者68例(72.4%)。结论散发性戊型肝炎可与其他病毒性肝炎重叠感染,临床表现类似甲肝,老年患者、重叠感染者黄疸深、肝功能损害重,影像学改变与其他病毒性肝炎相似。更多还原

【Abstract】 Objective To explore the clinical characteristics of sporadic hepatitis E.Methods The clinical and etiological types,clinical findings,serum biochemistries,and the image characteristics in 108 patients with sporadic hepatitis E were retrospectively analyzed.Results There were 27 patients(25.0%)with superinfections;The symptoms were impotence(90.7%)and jaundice(86.1%);There was significant difference between the levels of ALT and TBIL in patients over 60-year-old and patients younger than 60-year-old(P<0.05),and the level of TBIL,ALB and GGT were significant difference between the groups with superinfection and without;In the image characteristics the livers of 68(72.4%) patients showed diffuse changes.Conclusion Hepatitis E could superinfect with other hepatitis viruses,the clinical findings of hepatitis E were similar to that of hepatitis A;the jaundices in the old patients or the patients with superinfection were heavy,and their liver functions were heavily damaged;the image characteristics of hepatitis E were similar to that of other viral hepatitises.更多还原