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病毒性肝炎由于多种因素常导致误诊,据报导误诊率高达8～16％。近20年来,随着防治工作的深入开展,尤其是甲、乙二型病毒性肝炎特异性抗原、抗体检测技术的建立和推广应用,使本病的诊断水平大大提高了一步。然而,临床上误诊情况仍屡见不鲜。为总结经验教训,我们选择了近几年所见,而临床上又较少引起重视的某些病例所反映出的一些问题报导如下,以供临床参考。
Viral hepatitis due to many factors often lead to misdiagnosis, according to the reported misdiagnosis rate as high as 8 to 16%. In the recent 20 years, with the further development of prevention and treatment work, especially the establishment and popularization and application of hepatitis A and B hepatitis B virus specific antigen and antibody detection technology, the diagnostic level of this disease has been greatly increased. However, clinical misdiagnosis is still uncommon. In order to summarize the experience and lessons, we have chosen to see some of the problems reflected in recent years and some of the less clinically significant cases for clinical reference.