患儿，男，10岁，近8天来食欲不振，恶心，呕吐，乏力，尿色黄来院就诊，病前2周曾注射丙种球蛋白1支。检查：巩膜黄染，肝肋下lcm,脾未触及。化验：ALT500U/L,胆红素85.5μmol/L，抗HAV-IgM(+)，抗HAV-IgG(+)，HBsAg(+)，抗HBc-IgM(+)。应诊断为

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