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为了认识乙肝病毒(HBV)与甲肝病毒(HAV)双重感染的血清学标志及其动态变化和临床表现。1988年上海市甲肝暴发流行中,我院就此作了研究,现报告如下。临床资料一、一般资料 1988年1～5月我院收治甲肝2290 (全部病例的抗-HAV-IgM均阳性),其中同时检出HBV标志(HBVM)的患者(甲乙肝)535例(23.4％)。按南宁会议的诊断分型标准计有急性黄疸型514例,急性无黄疸型6例,CPH3例,CAH12例。男326例,女209例,大部为青壮年。在单纯甲肝病人中取年龄、性别、发病天数、黄疸程度相似的535例作对照组研究。二、实验室检查两组病例均用ELI-SA检测HAV、HBV的血清学标志:抗-
In order to understand the serological markers of hepatitis B virus (HBV) and hepatitis A virus (HAV) double infection and its dynamic changes and clinical manifestations. 1988 hepatitis A outbreak in Shanghai, our hospital made a study on this, are as follows. Clinical data First, the general information 1988 January to May in our hospital received hepatitis A 2290 (all cases of anti-HAV-IgM were positive), including simultaneous detection of HBV markers (HBVM) patients (A and B) 535 cases (23.4% ). According to the diagnostic criteria of Nanning conference, there were 514 cases of acute jaundice, 6 cases of acute jaundice, 3 cases of CPH and 12 cases of CAH. 326 males and 209 females, mostly young adults. 535 cases with similar degree of age, sex, days of onset, and jaundice were selected as the control group in simple Hepatitis A patients. Second, the laboratory tests were used ELI-SA test two cases of HAV, HBV serological markers: anti -