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目的了解甘肃省乙型病毒性肝炎(乙肝)诊断、报告等存在的问题,为乙肝防治提供依据和建议。方法采用便利抽样的方法,调查了13所医院2004年部分出院诊断为乙肝的住院病历。结果急性乙肝的诊断混杂了慢性乙肝、疫苗免疫者、病后免疫者;慢性乙肝的诊断混杂了急性乙肝、乙肝病毒表面抗原(HBsAg)携带者、疫苗免疫者、病后免疫者;乙肝的诊断包括了慢性乙肝、HBsAg携带者、病后免疫者。诊断为乙肝的患者更多地混杂了HB-sAg携带者;上报的乙肝病例以慢性乙肝和HBsAg携带者为主(占70.3%),重报占9.01%,从诊断到报告的时限平均为3.09d。结论未严格执行乙肝的诊断标准;从报告病例中,无法估计乙肝的发病率水平。
Objective To understand the problems existed in the diagnosis and report of hepatitis B virus in Gansu Province and provide the basis and advice for the prevention and treatment of hepatitis B. Methods Convenient sampling methods were used to investigate the inpatient records of 13 hospitals diagnosed with hepatitis B in 2004. Results The diagnosis of acute hepatitis B was mixed with chronic hepatitis B, immunized persons and post-immunization patients. The diagnosis of chronic hepatitis B was mixed with the carriers of acute hepatitis B and hepatitis B virus surface antigen (HBsAg), vaccine and post-immunization. The diagnosis of hepatitis B Including chronic hepatitis B, HBsAg carriers, after immunization. Patients diagnosed with hepatitis B were more mixed with HBsAg carriers; reported hepatitis B cases were mainly chronic hepatitis B and HBsAg carriers (70.3%), re-reported 9.01%, the average time from diagnosis to the report of 3.09 d. Conclusion The diagnostic criteria of hepatitis B are not strictly enforced; from the reported cases, the incidence of hepatitis B can not be estimated.