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本文报告病毒性肝炎447例,经检测确定有61例(13.65％)为甲乙型肝炎病毒双重感染,其中混合感染9例,重叠感染52例。作者认为:①乙型肝炎虽是首次急性发病,亦可能合并有甲型肝炎病毒感染,故每例患者,均应同时检测血清抗-HAV IgM及HBV标志物;②当无症状病毒携带者或慢性乙型肝炎患者,近期出现症状异常或明显加重时,亦应考虑乙型肝炎与甲型肝炎或其它肝炎病毒合并感染的可能,并要注意有无转为重症肝炎的倾向,根据病情需要采取相应的积极防治措施。
In this paper, 447 cases of viral hepatitis were reported. 61 (13.65%) were confirmed to be hepatitis B virus (HBV) infection, including 9 cases of mixed infection and 52 cases of overlapping infection. The authors believe that: ① Although hepatitis B is the first acute onset, may also be associated with hepatitis A virus infection, so each patient should be simultaneously detected serum anti-HAV IgM and HBV markers; ② When the virus-free carriers or Chronic hepatitis B patients, the recent symptoms of abnormal or significantly increased, should also consider the hepatitis B and hepatitis A or other hepatitis virus infection may be combined, and pay attention to whether there is a tendency to switch to severe hepatitis, according to the needs of the disease to take The corresponding positive control measures.