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[杭州市病毒性肝炎分布特征及预防策略研究]

[A study on distribution characteristics of viral hepatitis and preventive strategy in Hangzhou].

作者信息

Sun B

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1990 Feb;11(1):12-5.

PMID:2108804
Abstract

By using the method of predictive survey, 1248 cases of acute viral hepatitis, which have been definitely diagnosed, in urban district, water-net areas, semi-mountainous and mountainous areas in Hangzhou were studied for the epidemiology and serum pathogenic typing in 1987. As a result, with the mixed infection of hepatitis A and hepatitis B at the rate of 1.20%, hepatitis A 69.71%, hepatitis B 7.13% non A non B hepatitis amounted to 21.96%. In urban and rural area, the percentage of hepatitis A ranked first while that non A non B hepatitis did second. The main risky factors in epidemicity of hepatitis A were: 1) the use of commode; 2) contact with the patients with hepatitis; 3) drinking unboiled water. Hepatitis A and hepatitis B transmitted mainly in the way of extra-intestines. Seeing dentist was the main risky factor. The relevant strategy was presented on the bases of the above-mentioned data.

摘要

1987年,采用前瞻性调查方法,对杭州市城区、水网地区、半山区和山区已确诊的1248例急性病毒性肝炎病例进行了流行病学和血清病原学分型研究。结果显示,甲型肝炎和乙型肝炎混合感染率为1.20%,甲型肝炎占69.71%,乙型肝炎占7.13%,非甲非乙型肝炎占21.96%。在城乡地区,甲型肝炎所占比例居首位,非甲非乙型肝炎居第二位。甲型肝炎流行的主要危险因素为:1)使用马桶;2)与肝炎患者接触;3)饮用生水。甲型肝炎和乙型肝炎主要通过肠道外途径传播。看牙医是主要危险因素。根据上述数据提出了相关策略。

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