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1.[甲型肝炎]:血清抗-HAV IgM阳性即可诊断。此外急性期和恢复期双份血清抗-HAV有4倍以上升高;肝组织或粪便中发现HAV颗粒、HAVAg或HAV RNA亦可诊断为本病。\\
2.[乙型肝炎]:有以下任何一项阳性,可诊断为HBV现症感染:①血清HBsAg阳性;②血清HBV DNA阳性或HBV DNA聚合酶阳性;③血清抗-HBc lgM阳性;④肝内HBsAg和(或)HBcAg阳性,或HBV DNA阳性。在临床诊断中注意鉴别急性乙型肝炎与慢性乙型肝炎急性发作,前者随病程进展HBsAg滴度由高到低,消失后抗-HBs转阳;前者抗-HBc IgM滴度高,抗-HBc IgG阴性或低水平。\\
3.[丙型肝炎]:血清抗-HCV阳性,血清和(或)肝内HCV RNA阳性。\\
4.[丁型肝炎]:HDV为缺陷病毒,依赖HBV才能复制,所以除HBV感染标志阳性外,血清抗-HD或抗-HD IgM阳性,血清和(或)肝内HDAg、HDV RNA阳性均可诊断。\\
5.[戊型肝炎]:血清抗-HE或抗-HE IgM阳性,血清和(或)粪便HEV RNA阳性。
1.甲型肝炎:血清抗-HAV IgM阳性即可诊断。此外急性期和恢复期双份血清抗-HAV有4倍以上升高;肝组织或粪便中发现HAV颗粒、HAVAg或HAV RNA亦可诊断为本病。\\
2.乙型肝炎:有以下任何一项阳性,可诊断为HBV现症感染:①血清HBsAg阳性;②血清HBV DNA阳性或HBV DNA聚合酶阳性;③血清抗-HBc lgM阳性;④肝内HBsAg和(或)HBcAg阳性,或HBV DNA阳性。在临床诊断中注意鉴别急性乙型肝炎与慢性乙型肝炎急性发作,前者随病程进展HBsAg滴度由高到低,消失后抗-HBs转阳;前者抗-HBc IgM滴度高,抗-HBc IgG阴性或低水平。\\
3.丙型肝炎:血清抗-HCV阳性,血清和(或)肝内HCV RNA阳性。\\
4.丁型肝炎:HDV为缺陷病毒,依赖HBV才能复制,所以除HBV感染标志阳性外,血清抗-HD或抗-HD IgM阳性,血清和(或)肝内HDAg、HDV RNA阳性均可诊断。\\
5.戊型肝炎:血清抗-HE或抗-HE IgM阳性,血清和(或)粪便HEV RNA阳性。
Version Date Modified Size Author Changes ... Change note
5 25-Oct-2013 15:59 1.799 kB 1614216108 to previous
4 17-Jul-2013 11:46 1.806 kB 1614216108 to previous | to last
3 17-Jul-2013 11:40 1.799 kB 1614216108 to previous | to last
2 17-Jul-2013 11:37 1.809 kB 1614216108 to previous | to last
1 31-Jan-2013 11:39 1.799 kB 1614216108 to last
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