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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >A comparative study of hepatitis caused by scrub typhus and viral hepatitis a in South Korea.
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A comparative study of hepatitis caused by scrub typhus and viral hepatitis a in South Korea.

机译：在韩国，由斑疹伤寒和甲型病毒性肝炎引起的肝炎的比较研究。

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Abstract. We compared clinical features and laboratory findings of 104 patients with hepatitis A and 197 patients with scrub typhus. Nausea, vomiting, abdominal pain, hepatomegaly, and jaundice were common in patient with hepatitis A, and fever and headache were significantly more common in patients with scrub typhus. At presentation, an alanine aminotransferase (ALT) level >/= 500 U/L was observed in 1% of scrub typhus patients and in 87.5% of hepatitis A patients (P < 0.001). A bilirubin level >/= 1.3 mg/dL was observed in 16.8% of scrub typhus patients and 90.4% of hepatitis A patients. The ALT:lactate dehydrogenase ratio was 5 in 95.2% of those with hepatitis A (P < 0.001). Fever, headache, rash, and eschar are findings that indicate scrub typhus. An ALT level >/= 500 U/L (adjusted odds ratio = 0.011) a bilirubin level >/= 1.3 (adjusted odds ratio = 0.024), an ALT:lactate dehydrogenase ratio > 5, and hepatomegaly are indications of viral hepatitis A.
机译：抽象。我们比较了104例甲型肝炎患者和197例斑疹伤寒患者的临床特征和实验室检查结果。甲型肝炎患者常见恶心，呕吐，腹痛，肝肿大和黄疸，而斑疹伤寒患者更常见发烧和头痛。介绍时，在1％的斑疹伤寒患者和87.5％的甲型肝炎患者中观察到丙氨酸转氨酶（ALT）水平> / = 500 U / L（P <0.001）。在16.8％的斑疹伤寒患者和90.4％的甲型肝炎患者中观察到胆红素水平> / = 1.3 mg / dL。斑疹伤寒患者的97.4％的ALT：乳酸脱氢酶比率为 / = 500 U / L（调整后的优势比= 0.011），胆红素水平> / = 1.3（调整后的优势比= 0.024），ALT：乳酸脱氢酶比> 5和肝肿大是甲型病毒性肝炎的征兆。

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