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本文对７４例散发性戊肝的临床资料从若干方面对“单纯”戊肝和乙肝重叠戊肝作比较，并将“单纯”戊肝分抗－ＨＥＶＩｇＭ阳性和抗－ＨＥＶＩｇＧ阳性二组进行比较。结果提示：本组散发性戊肝发病以中年为主，乙肝重叠戊肝发病年龄相对偏小。在ＨＢＶ感染的基础上重叠ＨＥＶ感染时肝细胞损害严重、病死率高。对急性肝炎患者，在排除其它病毒性肝炎的情况下，抗－ＨＥＶＩｇＧ阳性有助于ＨＥＶ近期感染的诊断。
In this paper, 74 cases of sporadic encephalomyelitis clinical data from several aspects of “simple” Hepatitis E and hepatitis E overlap Hepatitis E comparison, and “simple” HepG-anti-HEVIgM positive and anti-HEVIgG positive two groups were compared. The results suggest that: This group of sporadic encephalopathy onset mainly middle-aged, hepatitis B overlap of hepatitis E age is relatively small. Hepatocytes are severely damaged and have high mortality due to overlapping HEV infection on the basis of HBV infection. In patients with acute hepatitis, anti-HEVIgG positivity contributes to the diagnosis of recent HEV infection, with the exception of other viral hepatitis.