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以Genelabs的HEVIgGELISA试剂盒和抗人μF(ab’)_2—HRP检测抗HEVIgG和IgM,从上海地区467例急性病毒性肝炎病人和84例健康人血清中分别检出抗HEVIgG阳性105例(22%)和11例(13%)(P>0.05)。从上述病人共检出抗HEVIgM阳性64例(14%),其中36例抗HEVIgM阳性出自111例急性非甲非乙非丙型肝炎,28例抗HEVIgM阳性出自333例急性甲型肝炎病人,而23例急性乙型和丙型肝炎病人,84例健康人以及另外的24例非病毒性肝炎(内4例类风湿因子阳性)病人血清均为抗HEVlgM阴性。结果表明:在检测抗HEVIgM的ELISA系统中,应用抗人μF(ab’)_2—HRP作为酶标第二抗体,取得了满意的结果;上海地区急性非甲非乙非丙型肝炎中,32%为戊型肝炎,急性甲型肝炎病人中8%同时感染了HAV和HBV。
HEV IgGG and IgM were detected by Genelabs HEVIgG ELISA kit and anti-human μF (ab ’) _2-HRP, and 105 positive anti-HEVIgG antibodies were detected in 467 cases of acute viral hepatitis and 84 healthy human serum in Shanghai %) And 11 cases (13%) (P> 0.05). A total of 64 anti-HEVIgM positives (14%) were detected from the above patients, of which 36 were anti-HEVIgM positive from 111 non-A non-B non-C hepatitis and 28 anti-HEVIgM positive were from 333 A patients, Serum samples from 23 patients with acute hepatitis B and C, 84 healthy individuals, and another 24 patients with non-viral hepatitis (within 4 rheumatoid factor positive) were negative for HEV IgM. The results showed that satisfactory results were obtained by using anti-human μF (ab ’) _ 2-HRP as the second antibody in the ELISA system for detecting anti-HEVIgM. In Shanghai, acute non-A non-B hepatitis B % Of hepatitis E, 8% of patients with acute hepatitis A are infected with both HAV and HBV.