摘要
本文报告病毒性肝炎447例,经检测确定有61例(13.65％)为甲乙型肝炎病毒双重感染,其中混合感染9例,重叠感染52例。作者认为:①乙型肝炎虽是首次急性发病,亦可能合并有甲型肝炎病毒感染,故每例患者,均应同时检测血清抗-HAV IgM及HBV标志物;②当无症状病毒携带者或慢性乙型肝炎患者,近期出现症状异常或明显加重时,亦应考虑乙型肝炎与甲型肝炎或其它肝炎病毒合并感染的可能,并要注意有无转为重症肝炎的倾向,根据病情需要采取相应的积极防治措施。
Four hundred and forty-seven cases of viral hepatitis were reported. After examination of serologic anti-HAY IgM and HBV markers (HBVM), 61 cases were diagnosed as HAV and HBV double infection (13.65％), including 9 coinfection and 52 superinfection cases. Its clinical manifestations and some problems regarding double infection were briefly discussed. It is suggested that: ① some of the hepatitis patients with positive HBVM are uncertain of the acute hepatitis B. Coinfection and superinfection of HAY and HBV should be considered and the serologic anti-HAY IgM and HBVM must be detected for every case with acute hepatitis. ② If the patients with hepatitis B or asymptomatic carrier become worse or symptomatic recently, mixed infection of HBV and HAV or other hepatitis viruses should be considered, and the patients might tend to be severe hepatitis, and need to take some appropriate measures for prevention and treatment.
关键词
病毒性肝炎
肝炎病毒
感染
hepatitis viruses
coinfection
superinfection
