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目的探讨散发性戊型肝炎的发病规律及临床特点。方法回顾性分析2005年1月至2007年1月收治的散发性戊型肝炎143例的临床资料。结果男98例,女45例。年龄20～82岁。经住院保肝、退黄、降酶等综合治疗,临床治愈129例(90.21%)均为单纯性戊型肝炎,好转11例(7.69%),死亡3例(2.09%)均为重叠性(戊与甲、或乙、或丙型肝炎病毒两重或三重重叠感染)。春季发病率最高为58.85%,老年发病率占24.47%,7例重型者均为重叠性。结论重视春季及老年、有其他病毒性肝炎基础者对戊型肝炎的预防,是降低戊型肝炎发病率及其重型发病率与病死率的重要环节。
Objective To investigate the incidence and clinical features of sporadic hepatitis E. Methods The clinical data of 143 cases of sporadic hepatitis E were retrospectively analyzed from January 2005 to January 2007. Results There were 98 males and 45 females. Age 20 ~ 82 years old. 129 cases (90.21%) were cured of hepatitis E, 11 cases (7.69%) were improved and 3 cases (2.09%) died of overlapping hepatitis Either with hepatitis A, or B, or hepatitis C virus double or triple overlapping infection). The highest incidence of spring was 58.85%, the incidence of the elderly accounted for 24.47%, 7 cases were heavy overlap. Conclusion The emphasis on spring and old age, prevention of hepatitis E with other viral hepatitis base is an important part of reducing the incidence of hepatitis E and its incidence and mortality.