摘要
本组病例有63.6％的患者病前喜食水生贝类及生冷食物,经常在餐馆就餐,有可能经食物源传播;27.1％病例发病前1～2月在境外生活,可能有输入性传播,54.5％是在慢性HBV感染基础上重叠感染HEV,与印度报道相一致,提示这是HBV高发区HEV感染的一个特点。本组FH—E的临床特点为黄疸深、退黄时间长,肝功能损害明显,并发症以肝性脑病及继发感染为多见.病理组织学特征是汇管区有明显炎性细胞浸润及毛细胆管扩张、增生。
The results showed that the sporadic fulminant hepatitis E (FH-E) was different from epidemic FH-E. The features of sporadic FH-E are that:1) The male was more than the female (9 men, 2 nonpregnant women). 2)The elderly person was more susceptive. The mean age was 49. 2±11. 5 years, in which, 63. 6% of patients with sporadic FH-E were aged over 50 years. 3) 7/11 (63. 6%) of patients liked to eat rare shell-fish, before illness and 3/11 (27. 3%) of patients had returned from Taiwan, Hangkong or oversea. 4) 6/11 (54.5%) of patients with sporadic FH-E had HEV and HBV superinfection. 5) The patients with sporadic FH-E had serious complication and high mortality (6/11, 54. 5%).
出处
《中西医结合肝病杂志》
CAS
1995年第2期9-11,共3页
Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
关键词
重型肝炎
戊型肝炎
散发性
病理
病原学
Fulminant Hepatitis Type E Sporadic Cases HEV and HBV Superinfection
