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近年来无黄疸型传染性肝炎(以下简称肝炎)较为多见。由于它的临床表现并无特殊,亦无特异性的诊断方法,因而对于典型患者尚易诊断,不典型及迁延性肝炎患者,常易与其它消化道疾患相混淆,对肝炎可疑者,可触及的肝或肝脾者,亦不易肯定或摒除肝炎的诊断。为了明确我校员工中的不典型患者及肝炎可疑者的诊断,曾将部分上述患者留住病房,进行观察,兹将观察方法及结果(并举例说明)报告如下:材料来源及观察方法:我校员工经过普查、复查或门诊检查,根据总后勤卫生部痢疾、肝炎防治方案及我校1962年3月拟定的肝炎诊断治疗方法草案中的标准,将部分初步诊断为肝炎患者137名(急性肝炎9名,慢性肝炎8名,迁延性肝炎120名),肝炎高度可疑者46名,一般可疑者51名,肝脾大待诊者26名,先后分别收入我校三个附属医院,进一步观查。入院后,对于每位患者,均分别详细询问现在病史和过去
In recent years, jaundice-free infectious hepatitis (hereinafter referred to as hepatitis) is more common. Because of its clinical manifestations there is no special, there is no specific diagnostic method, which is still typical of patients is still easy to diagnose, atypical and patients with persistent hepatitis, often easily confused with other gastrointestinal disorders, suspicious of hepatitis, accessible Of the liver or liver and spleen, is not easy to affirm or exclude the diagnosis of hepatitis. In order to clarify the diagnosis of atypical patients and suspicious hepatitis patients in our school, some of the above patients were kept in the ward for observation. The observation methods and results (with examples) are as follows: Source of material and method of observation: I The staff of the school were censused, reexamined or outpatient checked. According to the standard of the dysentery and hepatitis prevention and control program of the General Logistics Department of Health and the drafts of hepatitis diagnosis and treatment drafted by our school in March 1962, some of the 137 patients with hepatitis (acute hepatitis 9, chronic hepatitis 8, persistent hepatitis 120), 46 highly suspicious hepatitis patients, 51 suspicious persons and 26 patients with hepatosplenomegaly. They were admitted to three affiliated hospitals of our school for further investigation . After admission, for each patient, were asked in detail about the current history and the past