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无黄疸型传染性肝炎,近年来随着党对人民群众身体健康的关怀,随着临床医师的注意和新检验技术的开展,其发病数字是逐渐增加。但由于无黄疸型传染性肝炎病理改变较轻,自觉症状不严重,往往造成胎误诊断。至目前为止,特异诊断方法很少,这对肝炎的防治带来不少困难。为了探讨其临床诊断方法,现将我院新近门诊确诊的无黄疸型肝炎患者30例,加以分析,以供参考。一、一般分析30例均系门诊病人,年龄15—45岁,平均年龄为30岁;其中男性26人,女性4人;机关干部23人,医务人员2名,农民2人,家庭主妇3人。二、诊断依据1.密切接触史;2.典型症状;3.肝脏肿大或伴有脾脏肿大且有明显压痛及叩打痛;4.肝功能检查异常;5.超声波显示典型肝炎波型;上述五项中有任何三项明显阳性者,或在2、3、4、5项中具有任何二项明显阳性者,均确诊为肝炎。三、临床分析1.无黄疸型传染性肝炎大多起病缓和,没有严重的自觉症状,且不能告知一个确切的发病日期,因此潜伏期无法统计。临床症状可表现为多种多样,主要为消化道机能紊乱、消瘦、乏力等。如表一所示:腹胀73.3%,食欲不振36.6%,肝区痛70%,消瘦60%,
In recent years, with the party’s concern for the health of the people, with the attention of clinicians and the development of new testing techniques, the incidence of jaundice-type infectious hepatitis is gradually increasing. However, due to non-jaundice infectious hepatitis pathological changes lighter, less severe symptoms, often resulting in fetal misdiagnosis. So far, there are few specific diagnostic methods, which bring many difficulties in the prevention and treatment of hepatitis. In order to explore its clinical diagnostic methods, now in our hospital newly diagnosed 30 cases of patients without icteric hepatitis, to be analyzed for reference. First, the general analysis of 30 cases were outpatients, aged 15-45 years old, with an average age of 30 years; of which 26 were men and 4 women; organs cadres 23, 2 medical workers, 2 farmers, housewives 3 . Second, the diagnosis based on 1. Close contact history; 2. Typical symptoms; 3. Liver enlargement or accompanied by splenomegaly and obvious tenderness and knocking pain; 4. Abnormal liver function tests; 5. Ultrasound shows typical wave patterns of hepatitis; Any of the above five items that are obviously positive, or who have any two of 2, 3, 4, 5 items clearly positive, are diagnosed with hepatitis. Third, the clinical analysis 1. Most of the jaundice-type infectious hepatitis mild onset, there is no serious symptoms, and can not tell an exact date of onset, so the incubation period can not be counted. Clinical symptoms can be manifested as diverse, mainly gastrointestinal disorders, weight loss, fatigue and so on. As shown in Table 1: abdominal distension 73.3%, loss of appetite 36.6%, liver pain 70%, weight loss 60%