BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 发热
  • 乏力
  • 恶心呕吐
全部具体信息

其他诊断因素

  • 疲劳
  • 头痛
  • 尿色深
  • 瘙痒
全部具体信息

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
  • 已知食源性传染曝露史
全部具体信息

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
全部具体信息

需要考虑的检查

  • 抗HAV-IgG抗体
  • 电镜检测粪便及体液
  • 甲肝病毒RNA(HAV RNA)检测
全部具体信息

治疗流程

推断

无疫苗接种史，且近期有甲型肝炎病毒暴露史者（＜2周）

急性

确诊的甲型肝炎

贡献者

作者 查看所有

Fida A. Khan MD, FACP

Infectious Diseases Attending

Seton Medical Center Williamson

Round Rock

TX

利益冲突披露
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

利益冲突披露
MW declares that he has no competing interests.

同行评议专家 查看所有

Professor of Medicine and Cell Biology

Columbia University College of Physicians and Surgeons

New York

NY

利益冲突披露
HJW declares that he has no competing interests.

Gastroenterologist

Dartmouth-Hitchcock Nashua

Nashua

NH

利益冲突披露
SN declares that he has no competing interests.

Professor of Medicine

University of Connecticut Health Center

Farmington

CT

利益冲突披露
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

利益冲突披露
KP declares that he has no competing interests.

Professor

Director of Vaccine & Infectious Disease Institute

University of Antwerp

Antwerp

Belgium

利益冲突披露
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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