最近审阅: 27 十月 2020
最近更新: 24 四月 2017

小结

定义

病史和体格检查

关键诊断因素

  • 存在危险因素
  • 发热
  • 乏力
  • 恶心呕吐
  • 黄疸
  • 肝肿大
  • 右上腹疼痛
  • 陶土色大便

其他诊断因素

  • 疲劳
  • 头痛
  • 尿色深
  • 瘙痒
  • 关节痛、肌痛
  • 咳嗽
  • 腹泻
  • 便秘
  • 脾大
  • 颈后淋巴结肿大
  • 短暂皮疹
  • 心动过缓

危险因素

  • 生活在地方性流行地区
  • 与感染者密切接触
  • 男性同性恋者
  • 发达国家人群到甲肝流行地区旅游
  • 滥用注射类或非注射类毒品者
  • 已知食源性传染曝露史
  • 接触托儿所儿童或工作人员

诊断性检查

首要检查

  • 血清转氨酶
  • 血清胆红素
  • 血尿素
  • 血清肌酐
  • 凝血酶原时间
  • 抗HAV-IgM抗体
更多 首要检查

需考虑的检查

  • 抗HAV-IgG抗体
  • 电镜检测粪便及体液
  • 甲肝病毒RNA(HAV RNA)检测
更多 需考虑的检查

治疗流程

撰稿人

Fida A. Khan

Infectious Diseases Attending

Seton Medical Center Williamson

Round Rock

TX

利益声明

FAK declares that he has no competing interests.

Hospitalist Physician

Archbold Memorial Hospital

Thomasville

GA

Assistant Clinical Professor

Florida State University School of Medicine

Tallahassee

FL

利益声明

MW declares that he has no competing interests.

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Professor of Medicine and Cell Biology

Columbia University College of Physicians and Surgeons

New York

NY

利益声明

HJW declares that he has no competing interests.

Gastroenterologist

Dartmouth-Hitchcock Nashua

Nashua

NH

利益声明

SN declares that he has no competing interests.

Professor of Medicine

University of Connecticut Health Center

Farmington

CT

利益声明

GYW is on the medical advisory boards of the following: Gilead Sciences, Bristol-Myers Squibb, AbbVie, and Intercept.

Assistant Professor

Division of Gastroenterology

Department of Medicine

Brown University

RI

利益声明

KP declares that he has no competing interests.

Professor

Director of Vaccine & Infectious Disease Institute

University of Antwerp

Antwerp

Belgium

利益声明

PVD has been and still is principal investigator of vaccine trials for several vaccine manufacturing companies, from which the university obtained and obtains research contracts and funds for conducting such vaccine trials.

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