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Lhasa area of 107 cases of hepatitis A _4680

 
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PostPosted: Thu 22:35, 17 Mar 2011    Post subject: Lhasa area of 107 cases of hepatitis A _4680

Lhasa area of ​​clinical analysis of 107 cases of hepatitis A


Line characteristics of Chinese books and reference materials Classification Classification 11937/9795 viral hepatitis by hepatitis A virus (hedsAvirus, HAV) in liver cell damage caused by acute infectious disease mainly. HAV RNA is a small intestinal virus, the virus family, is a RNA virus, a diameter of about 27mm, the 32 shell particles composed of 20 icosahedral symmetry structure, containing linear single-strand RNA. Only one serotype, which determines the small hepatitis, the occurrence of chronic and heavy-duty yet no coverage. China is a high incidence of hepatitis A, and the incidence of hepatitis A in Lhasa has its own characteristics. Nearly two years now I have 107 cases of patients hospitalized for viral hepatitis reported as follows: l clinical data of this group of patients as our department 1999 ~ 2f} 01 hospital has the receiving of the serum by a group of diagnosed cases. 84 males, 23 female, aged l5-year-old to 49 years, mean age 22 years. 9l cases of Han, Tibetan l6 cases; of which 78 cases were moved to the population, 29 cases are the local population. Clinical features: (1) the incidence population: incidence were mainly concentrated in the areas of population mobility, such as construction sites, military units, restaurants and so on. Cases in this group were 96 cases from these areas,[link widoczny dla zalogowanych], accounting for 89.7%; young age to more that 83 cases of l5-year-old to 29-year-old patients,[link widoczny dla zalogowanych], accounting for 77.6% of patients without l5 years of age; Gender male common. (2) Popular features: onset in summer and autumn season in this group, 72 cases occurred in summer and autumn 67.3%, while less common in winter. L6 cases are from the same site, and the intervals before and after less than 15d. The investigation discovered that the site l6 cases where a collective eat (3) Clinical manifestations: fever and other changer l9 cases, there are two manifestations in 7 cases; 98 cases of jaundice, 9 patients without jaundice, jaundice of the liver were 95 cases of apparent percussion pain,[link widoczny dla zalogowanych], no 1 case of chronic, heavy-duty 3 cases. (4) laboratory tests: serum A 【JT were increased, mild (2 times) increase in 32 cases, moderate (2 to 3 times) was increased in 58 cases, moderate (3 times) were l7 cases ; a jaundice bilirubin was increased two-way, 2 times in 29 cases, 2 to 3 times 59 cases,[link widoczny dla zalogowanych], more than 3 times l0 cases; urinary bilirubin in the (+ +) above; urobilinogen positive 52 cases, consider time-related blood. In the 24 cases in patients over 30 years of age, there l8 cases of hepatitis B virus infection overlap, but no significant relationship between gender, clinical treatment worse than the simple hepatitis, cholestasis significantly, 3 of them develop into severe hepatitis. 2 2.1 in the Lhasa area discussed viral hepatitis cases age of onset on the move, mostly middle-aged migrants dominated mostly aged 15 to 29 years old. 2.2 The incidence of the season due to the high altitude climate, more occurred in summer and autumn. 2.3 Even though the distribution of the main disease, but there are local outbreaks, such a situation occurred at the site, schools and so on. 2.4 middle-aged patients with multiple overlapping hepatitis B virus infection, clinical treatment less effective, and easy to develop into severe hepatitis,[link widoczny dla zalogowanych], hepatitis B virus infection that overlap the two viruses to ask each other aggravating circumstances may exist. 2.5 increase in foreign population in Lhasa in recent years, the need to strengthen the prevention of viral hepatitis, mainly populated areas and large movement. To strengthen the management of restaurants and other catering establishments is an effective measure to prevent viral hepatitis. Received :2001-07-11 healthy people automatically ESR curves of the detection and classification Chao Chen Rong Lau Cai Min 1. Laboratory, General Hospital of Chengdu Military Region (Chengdu 610083) Keywords healthy Automatic ESR curve type classification of library materials in China Key words P. Dynamic ESR curve 331 as a new laboratory diagnostic criteria, in recent years been applied in clinical and normal populations ESR curve type


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