论文部分内容阅读
病毒性肝炎(Viral hepatitis)是由多种肝炎病毒引起的以肝脏损害为主的急性传染病。目前可分为七型:甲、乙、丙、丁、戊,己、庚型(A、B、C、D、E、F、G型)。各型肝炎间无交叉免疫。 1 诊断 包括临床诊断及病原学诊断,应综合分析判断。 1.1 临床诊断 各型肝炎临床表现极相似,虽然各有其特点,但对患者来讲,不能根据其特点确定何型。因其均可表现为黄疸型与无黄疸型,均可发生于儿童或成人,均可发生于任何季节,只不过发生频率不同,因此临床诊断与病原学诊断不能混同。 1.1.1 急性肝炎 急性黄疸型肝炎在黄疸出现后诊断多不难,在黄疸前期易误为感冒、上呼吸道感染、胃肠炎等。应特别要注意近期内出现的持续几天以上无原因可解释的明显胃肠道症状及乏力,应及时检测肝功能,常可早期诊断。
Viral hepatitis is an acute infectious disease caused mainly by liver damage caused by many kinds of hepatitis viruses. Currently divided into seven types: A, B, C, D, E, G, G type (A, B, C, D, E, F, G type). There is no cross-immunity between various types of hepatitis. 1 Diagnosis Including clinical diagnosis and pathogenic diagnosis, should be comprehensive analysis and judgment. 1.1 clinical diagnosis of various clinical manifestations of hepatitis are very similar, although each has its own characteristics, but the patient is concerned, can not determine what type according to its characteristics. Because they can be expressed as jaundice and jaundice can occur in children or adults, can occur in any season, but the frequency of occurrence is different, so clinical diagnosis and pathogenic diagnosis can not be confused. 1.1.1 Acute hepatitis Acute jaundice hepatitis in the diagnosis of jaundice is not difficult, in the pre-jaundice easily mistaken for a cold, upper respiratory tract infection, gastroenteritis and so on. Should pay particular attention to the recent emergence of more than a few days no reason to explain the obvious gastrointestinal symptoms and fatigue, liver function should be promptly detected, often early diagnosis.