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对344例晚期血吸虫病(下称晚血)患者进行27项血清学指标的检测,包括肝、肾功能、肝纤维化指标、乙肝三系、丙肝抗体、血吸虫病抗体与抗原的检测。对其中的无夹杂症的100例患者与肝炎后肝硬化进行比较研究,并作HBV-DNA、HCV-RNA(均用PCR法)和B超检查。结果认为晚血患者肝脏受损程度较轻,肝纤维化可处于静止期,而部分患者仍处于活动期,抗肝纤维化治疗应进行。与肝炎后肝硬化的比较研究,提出了新的鉴别诊断方法,可参考。
A total of 344 patients with advanced schistosomiasis (referred to as late blood) were enrolled in this study. Serological markers were detected in 27 patients, including liver and kidney function, liver fibrosis indicators, hepatitis B tripartite, hepatitis C antibody, schistosomiasis antibodies and antigens. One of the 100 cases of patients without complications and hepatitis cirrhosis were compared, and for HBV-DNA, HCV-RNA (both with PCR) and B-ultrasound. The results suggest that late liver damage patients with mild liver damage, liver fibrosis can be in quiescence, while some patients are still active, anti-fibrosis treatment should be carried out. Compared with the post-hepatitis cirrhosis, put forward a new differential diagnosis method, can refer to.