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为了解1998年水灾后病毒性肝炎的主要流行型别,于1999年2~4月,在6个受灾省(自治区,下同)收集了就诊肝炎病人血清1135份.用酶联免疫吸附试验检测甲、乙、戊型肝炎感染指标.结果表明:(1)在水灾后的病毒性肝炎病例中,约半数为急性肝炎(45.73%),半数可能为慢性乙型肝炎(54.27%),后者少数为其它型肝炎;(2)在急性肝炎中,甲、乙、戊型肝炎分别占57.42%、30.06%和12.52%;(3)在HBsAg阳性者中,能定为急性肝炎的只占32.21%.在这里21%的急性肝炎中甲、乙、戊型肝炎的比例分别为26.18%、68.06%和5.76%,表明水灾区的急性病毒性肝炎以甲型肝炎为主,慢性肝炎以乙型肝炎为主.上述两种类型是水灾后预防的重点。
To understand the major epidemic patterns of viral hepatitis after the 1998 floods, from January to April 1999, 1135 serum samples of hepatitis patients were collected from 6 affected provinces (autonomous regions and the same below). Enzyme linked immunosorbent assay for hepatitis A, B, hepatitis E infection indicators. The results showed that: (1) About half of the cases of post-flood viral hepatitis were acute hepatitis (45.73%), half of them were chronic hepatitis B (54.27%), and the latter were other hepatitis ) Among acute hepatitis, A, B and E accounted for 57.42%, 30.06% and 12.52% respectively; (3) Among the HBsAg positive persons, only 32.21% were acute hepatitis. The proportion of A, B and E hepatitis in 21% of acute hepatitis is 26.18%, 68.06% and 5.76% respectively, indicating that the acute viral hepatitis in flood-affected areas is mainly hepatitis A and the chronic hepatitis is hepatitis B the Lord. The above two types are the focus of post-flood prevention.