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对768例肝病病人作了戊型及甲、乙、丙型肝炎病毒标志物的检测,发现老年戊型肝炎34例,占老年急性病毒性肝炎的56.67%。说明戊型肝炎是引起老年急性病毒性肝炎的最主要因素。老年成型肝炎主要表现为黄疸发生率高,占94.12%;黄疸程度重,持续时间长,自觉症状及谷丙转氨酶(ALT)、谷草转氨酶(AST)均先于胆红素恢复正常。虽然老年戊型肝炎病情恢复慢,但预后良好。
A total of 768 liver disease patients were tested for type E and hepatitis A, B, and C virus markers. 34 cases of elderly hepatitis E were found, accounting for 56.67% of elderly patients with acute viral hepatitis. Hepatitis E is the leading cause of acute viral hepatitis in the elderly. The incidence of jaundice in elderly patients with hepatocirrhosis was high (94.12%). The severity of jaundice was longer and longer. The symptoms and ALT and AST returned to normal before bilirubin. Although the recovery of elderly hepatitis E slow, but the prognosis is good.