病毒性肝炎(以下简称病肝)是具有严重危害性的常见传染病。现在虽已有特异性的病原学和免疫学诊断方法,但基层医疗单位尚未能普遍使用。通常仍是依据流行病学资料、症状、体征和化验检查并结合病人具体动态而进行诊断。由于其临床表现复杂,加上有相当数量的亚临床型病人及慢性病毒携带者的存在,临床确诊时有困难。今把我院开设肝炎门诊两年来被误诊而收住普内科8例,普儿科4例,共12例)病人加以分析于下: 一、采集病史粗糙: 近3～5月内有否肝炎密切接触史,有否不洁输液、输血及血类制品注射史是病肝诊断的重要参考依据之一。尤其儿科病人,几乎半数可以追溯到有急性 Viral hepatitis (hereinafter referred to as liver disease) is a common and highly contagious disease. Although there are specific etiological and immunological diagnostic methods, primary medical units have not yet been widely used. Diagnosis is usually still based on epidemiological data, symptoms, signs and laboratory tests combined with the patient’s specific dynamics. Because of its complex clinical manifestations, coupled with a considerable number of subclinical patients and chronic virus carriers, the clinical diagnosis of difficulties. Now my hospital opened two years of hepatitis clinic was misdiagnosed and received eight cases of general medicine, general pediatric 4 cases, a total of 12 cases) to be analyzed in the following: First, the acquisition of a rough history: nearly 3 to 5 months whether there is close hepatitis History of exposure, whether dirty infusion, blood transfusion and blood products injection history is an important reference for the diagnosis of liver disease. In particular, almost half of pediatric patients can be traced back to acute