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本文对320例抗HCV阳性肝病患者重叠感染甲、乙、丁型肝炎病毒的情况进行了分析。其中以HBV-M阳性为主,占93%;HAVIgM阳性占8.9%;HDAg阳性占5.6%;抗HDV阳性6.9%。279例(87.2%)为双重感染,41例为多重感染,164例(51.2%)有近期输血史。在同时感染乙肝和丁肝的36例患者中31例(87%)有输血史。结果提示:丙肝患者重叠感染乙肝和丁肝往往会加重病情,故在输血筛选时加强乙肝和丙肝病毒标志物的检测。
In this paper, 320 patients with anti-HCV-positive liver disease overlap hepatitis A, B, hepatitis B were analyzed. Among them, HBV-M positive accounted for 93%; HAVIgM positive accounted for 8.9%; HDAg positive accounted for 5.6%; anti-HDV positive 6.9%. 279 cases (87.2%) were double infections, 41 cases were multiple infections and 164 cases (51.2%) had recent transfusion history. Transfusions occurred in 31 (87%) of 36 patients with both hepatitis B and D. The results suggest that: Hepatitis C and D are often aggravated in patients with hepatitis C infection, so hepatitis B and hepatitis C virus markers are enhanced during blood transfusion screening.