Laskus T, Lupa E, Cianciara J, Slusarczyk J
Department of Immunopathology, Institute of Infectious and Parasitic Diseases, Medical Academy, Warsaw, Poland.
Am J Gastroenterol. 1991 May;86(5):565-9.
In the years 1986-1988, 530 consecutive cases of acute viral hepatitis were admitted to an infectious disease hospital in Warsaw. Hepatitis A was diagnosed in 34 cases (6.4%), hepatitis B in 436 (82.3%), CMV infection in five (0.9%), and 55 cases (10.4%) were classified as hepatitis non-A, non-B. In 47 cases (85%) of non-A, non-B hepatitis, there was evidence of parenteral transmission, whereas in eight (15%), the source of infection was unknown. Chronic liver disease developed in 50% of patients with parenteral exposure, but there were no cases with known exposure. Seroconversion to anti-HCV was observed only in patients with parenteral exposure, and 60% of followed up cases developed antibodies within 6 months.
1986年至1988年期间,华沙一家传染病医院收治了530例连续的急性病毒性肝炎病例。其中甲型肝炎34例(6.4%),乙型肝炎436例(82.3%),巨细胞病毒感染5例(0.9%),55例(10.4%)被归类为非甲非乙型肝炎。在47例(85%)非甲非乙型肝炎病例中,有肠道外传播的证据,而8例(15%)的感染源不明。肠道外暴露的患者中有50%发展为慢性肝病,但无已知暴露情况的病例。仅在肠道外暴露的患者中观察到抗丙型肝炎病毒血清转换,60%的随访病例在6个月内产生抗体。