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δ因子感染只能发生于同时存在 HBV感染时。本文报告1例急性δ肝炎患者,就诊时有新近的 HBV 感染的血清学证据,但HBsAg 阴性。作者讨论了这种以前未曾描述的血清学发现的意义。患者为一静脉药瘾者,22岁,因黄疸日益加深而入院。3周前开始陈诉极度疲倦。入院前2周尿呈褐色。就诊前发生不适和恶心呕吐已1周。体检显示患者嗜睡,深度黄疸,但定向力好,无扑翼样震颤和慢性肝炎的特征。肝于右肋缘下4指扣及。入院时查胆红素465.5μmol/L,AST2,980IU/L,
Delta factor infection can only occur in the simultaneous presence of HBV infection. This article reports 1 patient with acute hepatitis C who has serological evidence of a recent HBV infection at the time of diagnosis but is negative for HBsAg. The authors discuss the implications of this serological finding that was not previously described. The patient was a intravenous drug addict who was 22 years old and admitted to hospital for jaundice. 3 weeks ago began to report extremely tired. Urine was brown 2 weeks before admission. Discomfort and nausea and vomiting have been present for 1 week before treatment. Physical examination showed drowsiness, deep jaundice, but good orientation, no asymptomatic tremor, and chronic hepatitis. Liver under the right flange 4 fingers buckle and. Bilirubin 465.5μmol / L, AST2,980IU / L,