急性病毒性肝炎的临床、实验室和超声特征。

G.E.N Pub Date : 1994-07-01

M E Garassini, B Gómez, A Hernández, L Marín, M Alvarado

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引用次数: 0

摘要

我们回顾了诊断急性病毒性肝炎的医院图表。我们用血清学标记物对他们进行分类:乙型肝炎(60例)、甲型肝炎(27例)和丙型肝炎(4例)。疲劳、厌食、发热、寒战和淋巴结病变在A型肝炎中更为常见。关节痛、瘙痒和皮疹在B型肝炎中更为常见。B型肝炎患者的胆红素水平(10.3 = -6.04 S.E:0.80)和C型肝炎患者(9.7 +/- 4.09 S.E:1.24)高于A型肝炎(6.7 +/- 6.04 S.E:0.80)， p < 0.01和p < 0.05。丙氨酸氨基转移酶(ALT)水平在乙型肝炎(1.918 +/- 1.099 S.E:215.5)和甲型肝炎(1879 +/- 1.099 S.E:215.5)中较高，在丙型肝炎(988 +/- 764 E.E:382)中较低，p < 0.05。腹部超声显示45%和50%的甲型肝炎和丙型肝炎患者有脾肿大，而只有15%的乙型肝炎患者有脾肿大。50%的甲型肝炎患者有胆囊壁改变，3.3%的乙型肝炎患者和75%的丙型肝炎患者有慢性感染。

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[Clinical, laboratory, and ultrasonography features of acute viral hepatitis].

We review the charts of the hospital with diagnostic of acute viral hepatitis. We classified them using serologic markers in hepatitis B (60 patients), hepatitis A (27 patients) and C (4 patients). Fatigue, anorexia, fever, chills and lymphadenopathy where more common in hepatitis A. Arthralgias, pruritus and rash where more common in hepatitis B. Bilirubin levels where higher in patients with hepatitis B (10.3 = -6.04 S.E:0.80) and C (9.7 +/- 4.09 S.E:1.24) compared with hepatitis A (6.7 +/- 6.04 S.E:0.80) p < 0.01 and p < 0.05. Alamine-Aminotransferase (ALT) levels where higher in patients with hepatitis B (1.918 +/- 1.099 S.E:215.5) and hepatitis A (1879 +/- 1.099 S.E:215.5) and lower in hepatitis C (988 +/- 764 E.E:382) p < 0.05. Abdominal Ultrasound reveal splenomegaly in 45% and 50% of patients with hepatitis A and C and only in 15% of patients with hepatitis B. Changes in gallbladder wall where found in 50% of patients with hepatitis A. 3.3% of patients with hepatitis B and 75% of patients with hepatitis C developed chronic infection.

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