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目的探讨戊乙型肝炎（ＨＥＢ）和甲乙型肝炎（ＨＡＢ）的临床特征。方法ＨＥＢ和ＨＡＢ各３０例，对比分析两组主要表现、肝功能指标和转归。结果除腹痛和黄疸发生率、ＡＬＴ水平ＨＥＢ组显著高于ＨＡＢ组（Ｐ＜０．０５）外，其它临床表现、肝功能指标两组相似。ＨＥＢ和ＨＡＢ组重型肝炎比例和病死率均很高，前者分别为２０％和１３．３３％，后者分别为１６．６７％和６．６７％（Ｐ＞０．０５）。结论戊乙型肝炎病毒重叠感染和甲乙型肝炎病毒重叠感染临床特征及预后相似；均有较高的重型肝炎比例和病死率。
Objective To investigate the clinical characteristics of hepatitis B (HEB) and hepatitis B (HAB). Methods HEB and HAB in each 30 cases, comparative analysis of two groups of main performance, liver function and prognosis. Results In addition to the incidence of abdominal pain and jaundice, ALT level in HEB group was significantly higher than that in HAB group (P <0.05). Other clinical manifestations and liver function indexes were similar in both groups. The proportion of severe hepatitis and the mortality in HEB and HAB patients were very high, with the former being 20% and 13.33%, and the latter being respectively 16.67% and 6.67% (P> 0.05). Conclusion The clinical characteristics and prognosis of overlapping hepatitis B virus infection and hepatitis A and HBV overlap are similar. Both have a high proportion of severe hepatitis and case fatality rate.