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目的分析由非嗜肝病毒感染引起的儿童相关性肝炎的病原学及临床症状特点。方法选择2014年1月~2015年10月在福建省妇幼保健院住院并确诊的非嗜肝病毒感染原相关性肝炎病例作为研究对象,检查常见嗜肝病毒及非嗜肝病毒病原体,分析病原分布、临床特点及治疗效果。结果 118例病例中检出最多的是肺炎支原体感染48例(40.7%),其次为EB病毒感染(21.2%);出现发热(73.7%),其次为纳差(63.6%)和肝大(48.3%);治疗后谷丙转氨酶和谷草转氨酶都明显下降。结论非嗜肝病毒感染引起的儿童肝炎,病原分布广泛,临床症状分散,需要进行综合性治疗才能取得满意的疗效。
Objective To analyze the etiological and clinical features of childhood-associated hepatitis caused by non-hepadnavirus infection. Methods From January 2014 to October 2015 in Fujian Province Maternal and Child Health Hospital hospitalized and diagnosed cases of non-hepatitis B virus infection-related hepatitis as the research object, check common pathogenic Hepatitis virus and non-hepadnavirus, pathogen distribution analysis , Clinical features and therapeutic effect. Results Among the 118 cases, 48 cases (40.7%) were infected with Mycoplasma pneumoniae, followed by Epstein-Barr virus (21.2%), with fever (73.7%), followed by anorexia (63.6%) and hepatomegaly %); After treatment, alanine aminotransferase and aspartate aminotransferase were significantly decreased. Conclusion Children with hepatitis caused by non-hepacitous virus infection have widely distributed pathogens and scattered clinical symptoms, and need comprehensive treatment to achieve satisfactory therapeutic effect.