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目的了解甲、乙型肝炎的流行病学状况。方法回顾分析1910例甲型肝炎和1596例急、慢性乙型肝炎患者年龄、性别、职业、发病季节,首发症状和血清ALT及SB值等特点。结果甲型肝炎患者以学生、工人、战士、部队干部居多,占78.6%,急性乙型肝炎患者以工人、战士、学生、部队干部居多,占79.4%,慢性乙型肝炎患者以部队干部、工人、地方干部、战士居多,占92.6%。甲型肝炎、急性乙型肝炎和慢性乙型肝炎患者中20岁~40岁的青壮年居多,分别为66.9%、61.8%和64.7%。甲型肝炎2月~6月份发病占58.9%,急、慢性乙型肝炎各季节均有发病。甲型肝炎以发热为首发症状者674例(55.0%),急性乙型肝炎以发热为首发症状者占20.2%。结论甲型肝炎患者以学生、工人、战士、部队干部居多,与甲型肝炎经消化道传播有关,上述职业者多半为集体就餐,经消化道传播的机会较其它职业者多,各类肝炎均以男性居多,青状年居多。甲型肝炎冬春发病较多,而乙型肝炎无明显季节性。
Objective To understand the epidemiological status of A and B hepatitis. Methods Retrospective analysis of 1910 cases of hepatitis A and 1596 cases of acute and chronic hepatitis B patients age, sex, occupation, onset season, first symptom and serum ALT and SB values and so on. Results Hepatitis A patients accounted for 78.6% of the total number of students, workers, warriors and army cadres, and 79.4% of them were workers, warriors, students and army cadres in acute hepatitis B. Patients with chronic hepatitis B were mainly military cadres and workers , Local cadres, mostly soldiers, accounting for 92.6%. Hepatitis A, Acute hepatitis B and Chronic hepatitis B patients are mostly young adults aged 20 to 40 years, 66.9%, 61.8% and 64.7% respectively. Hepatitis A Feb. ~ June incidence of 58.9%, acute and chronic hepatitis B incidence in all seasons. Hepatitis A fever 674 cases (55.0%), fever hepatitis B as the first symptom accounted for 20.2%. Conclusions Hepatitis A patients are mostly students, workers, warriors and army cadres. Hepatitis A is mainly associated with the spread of Hepatitis A through the digestive tract. Most of the above-mentioned professionals are group diners, and have more opportunities to spread through the digestive tract than other professionals. All kinds of hepatitis Mostly male, young majority. Hepatitis A more incidence of winter and spring, and hepatitis B no obvious seasonal.