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首页> 外文期刊>Journal of International Medical Research >Identification of Acute Self-Limited Hepatitis B among Patients Presenting with Hepatitis B Virus-Related Acute Hepatitis: A Hospital-Based Epidemiological and Clinical Study
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Identification of Acute Self-Limited Hepatitis B among Patients Presenting with Hepatitis B Virus-Related Acute Hepatitis: A Hospital-Based Epidemiological and Clinical Study

机译：乙型肝炎病毒相关性急性肝炎患者中急性自限性乙型肝炎的鉴定：基于医院的流行病学和临床研究

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摘要

This study aimed to identify acute self-limited hepatitis B (ASL-HB) among patients presenting with hepatitis B virus (HBV)-related acute hepatitis. Data were available for 220 patients diagnosed with HBV-related acute hepatitis, of whom 164 had acute hepatitis B (AHB). Of these, 160 were confirmed as ASL-HB: three (1.9%) evolved to chronic hepatitis B and one (0.6%) developed fulminant hepatitis and died. Comparisons were also made between AHB and acute infections with hepatitis A (HA) and hepatitis E (HE) viruses. During the study period, the number of patients with AHB exceeded the sum of those with acute HA and acute HE infections. There was no distinct seasonal peak for AHB infection, whereas both acute HA and acute HE infections occurred more frequently in the spring. Clinical symptoms and physical signs were similar for all three types of hepatitis, but significant differences were seen in some biochemical parameters. In conclusion, this study suggests that symptomatic AHB is not rare in China but it seldom evolves to chronic hepatitis B.
机译：本研究旨在确定与乙型肝炎病毒（HBV）相关的急性肝炎患者中的急性自限性乙型肝炎（ASL-HB）。已有220例被诊断为HBV相关急性肝炎的患者的数据，其中164例患有急性乙型肝炎（AHB）。其中160例确诊为ASL-HB：3例（1.9％）演变为慢性乙型肝炎，其中1例（0.6％）患上暴发性肝炎并死亡。还比较了AHB与甲型肝炎（HA）和戊型肝炎（HE）病毒的急性感染。在研究期间，AHB患者的数量超过了急性HA和急性HE感染患者的总和。 AHB感染没有明显的季节性高峰，而春季急性HA和急性HE感染均更为频繁。三种肝炎的临床症状和体征均相似，但在某些生化指标上却存在显着差异。总之，这项研究表明，有症状的AHB在中国并不罕见，但很少演变为慢性乙型肝炎。

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