乙肝临床分型(国外英文资料).docVIP

乙肝临床分型 \ The clinical diagnostic criteria of hepatitis b, , May 26, 2012, at 14:48 Chinese disease prevention and control center Clinical manifestation of hepatitis b is diversiform, diagnostic basis in addition to the symptoms, physical signs, should be according to the epidemiology, laboratory examination and/or liver biopsy on comprehensive analysis of the dynamic observation of diagnosis. Acute hepatitis 1) epidemiological data: in half a year, blood and blood products or other medical sources of infection, close contact in life, especially sexual contact. 2) symptoms: the apparent weakness and gastrointestinal symptoms that have been explained for more than a week without other causes. 3) signs: a. hepatomegaly, accompanied by pain or rapping. B. skin, sclera yellow dye. 4) liver function examination: a. glutamate transaminase (ALT) significantly increases. B. serum bilirubin (Bil) is greater than 17.1 mu per molar (greater than 1mg/dL) and/or urine bilirubin positive and excludes jaundice caused by other diseases. 5) HBV marker check: HBsAg positive for hepatitis b surface antigen (HBsAg), antihbc-igm (1:100 dilution still positive), two positive or only latter positive. Suspected cases: 1-2) + 1-3) + 1-4); Confirmed cases, suspected cases + 1-5) (3) such as patients with the skin, sclera, no yellow dye, normal liver function examination of serum bilirubin and uric bilirubin negative is acute icteric hepatitis b, and vice for acute jaundice hepatitis b. Chronic, delayed hepatitis 1) acute second liver disease is more than half a year old: if no acute hepatitis b history, the second liver disease is more than half a year. It is not enough to diagnose chronic active hepatitis 2) liver function to check ALT for continuous or intermittent anomaly 3) check: HBV markers in line with the index of the etiology of chronic hepatitis b, anti HBc IgM drops degrees below 1:32 or negative, serum HBsAg or any positive HBV - DNA, course continued for more than six months. 4)