既往报告在甲型肝炎流行期间,暴发型占0.2～1.0％,自从可以检查甲型肝炎病毒和其抗体以来,证明此型发病率极低。本文报告在瑞典某一小村甲型肝炎流行时发现的1例暴发型肝炎。患者54岁,女性,无既往肝病史,病程开始出现恶心,胃痛等消化道症状,继而出现黄疸。血清胆红质为160μmol/升(4～21), Previous reports of outbreaks of hepatitis A accounted for 0.2% to 1.0% during the period of the hepatitis A epidemic, which has proven to be extremely low since hepatitis A and its antibodies can be checked. This article reports an outbreak of fulminant hepatitis found during the hepatitis A epidemic in a small village in Sweden. 54-year-old female, without history of previous liver disease, nausea, stomach pain and other gastrointestinal symptoms began to appear, followed by jaundice. Serum bilirubin was 160 μmol / L (4 to 21)