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1979年12月卢湾区发生了一起由醉蟹引起的甲型肝炎(下称甲肝)暴发.生食醉蟹的18人中发生急性黄疸型肝炎8例.现报道如下:生食醉蟹者18人,年龄为11～66岁,其中11～30岁的12人中发病6例;30岁以上的6人中皆无发病.患者起病时均有发热,5例体温超过38.5℃,持续1～7天(平均3.2天),并伴有恶心、呕吐、纳减、上腹胀痛、尿色茶红等症状。起病3～5天后发现巩膜和皮肤黄染。体检肝肋下0.5～1.0厘米,剑突下2～3.5厘米,质软伴压痛.脾肋下可及者1例.入院时白细胞4,200～5,400/立方毫米,中性36～66%,淋巴细胞32～59%.血清总胆红素2.1～6.2毫克/分升(平均4.17毫克/分升),谷丙转氧酶300～
In December 1979, an outbreak of Hepatitis A (Hepatitis A) caused by drunk crab occurred in Luwan District in December of 1979. There were 8 cases of acute jaundice hepatitis in 18 of the raw food drunk crabs.Here reported as follows: The age ranged from 11 to 66 years old, of which 6 were from 12 out of 11 to 30 years old and 6 out of 6 were over 30 years old. All patients had fever at the onset of disease, and 5 cases had body temperature over 38.5 ℃ for 1 to 7 Day (an average of 3.2 days), accompanied by nausea, vomiting, satisfied reduction, abdominal pain, urine red tea and other symptoms. 3 to 5 days after onset found sclera and skin yellow dye. Physical examination of liver ribs 0.5 to 1.0 cm, 2 to 3.5 cm under the xiphoid, soft with tenderness. Spleen rib can be accessed in 1 cases. Admission leukocyte 4,200 ~ 5,400 / cubic millimeter, neutral 36 ~ 66%, lymphocytes 32 ~ 59%, serum total bilirubin 2.1 ~ 6.2 mg / dL (average 4.17 mg / dL), GPT 300 ~