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In acute virus hepatitis, HBsAg positive by using reveres passive hemagglutination assay or radioimmunoassay methods was considered as type B; and a 4-fold increase in the Anti-HA titers by complement fixation and immunoadherence hemagglutination assay methods was considered as type A acute hepatitis: Type A tended to occur in younger people with a more acute onset and fever, liver functions usualy recovered more quickly; there was no tendency to be chronic and the prognosis was usually good. In acute hepatitis... In acute virus hepatitis, HBsAg positive by using reveres passive hemagglutination assay or radioimmunoassay methods was considered as type B; and a 4-fold increase in the Anti-HA titers by complement fixation and immunoadherence hemagglutination assay methods was considered as type A acute hepatitis: Type A tended to occur in younger people with a more acute onset and fever, liver functions usualy recovered more quickly; there was no tendency to be chronic and the prognosis was usually good. In acute hepatitis Type B, the onset was insidious generally there was no fever, liver functions recovered rather slow, and the prognosis was poor. 本文对急性病毒性肝炎患者的血清,采用R-PHA或RIA法检测HBsAg,阳性者诊为乙型肝炎用CF和IAHA法检测双份血清的抗-HA滴度,凡抗体滴度呈四倍以上增长者诊断为甲型肝炎。甲肝组年龄偏低,起病急,常伴有发热,肝功恢复快,无转慢趋势,预后好。而乙肝起病较缓,一般不发热,肝功恢复较慢,预后较甲肝为差。 Several indexes in 52 cases suffering from acute and subacute severe hepatitis in our hospital from Jan 1985 to Apr 1987 were observed and compared with 20 healthy persons and 44 cases of acute hepatitis with serum bilirubin level larger than10mg% and severe gastrointestinal symptoms.The results revealed that serum PA,PT prolonged second and quantitativelyAT-Ⅲ could be used as indexes for early diagnosis.Those patients who had morethan two abnormal indexes might be of severe hepatitis.The estimation of PT,AT-Ⅲ,ELT,SGOT/SGPT,ratio,PHA... Several indexes in 52 cases suffering from acute and subacute severe hepatitis in our hospital from Jan 1985 to Apr 1987 were observed and compared with 20 healthy persons and 44 cases of acute hepatitis with serum bilirubin level larger than10mg% and severe gastrointestinal symptoms.The results revealed that serum PA,PT prolonged second and quantitativelyAT-Ⅲ could be used as indexes for early diagnosis.Those patients who had morethan two abnormal indexes might be of severe hepatitis.The estimation of PT,AT-Ⅲ,ELT,SGOT/SGPT,ratio,PHA skin test and the severity of coma was ofprognostic significance. 本文对我院1985年1月~1987年4月收治的52例急性和亚急性重症肝炎患者进行了有关指标的观察,并与20例正常人和44例胆红索在10 mg%以上,消化道症状较明显的急性病毒性肝炎患者进行了比较。其中 PA、PT 延长秒、AT-Ⅲ定量,可做为早期诊断指标。以三项指标综合比较意义更大,发生两项以上异常者重肝可能性大。PT 延长秒大于10秒、AT-Ⅲ、EIT、SGOT/SGPT、PHA 皮试和昏迷的程度有估计预后的意义。 204 sporadic patients with acute viral hepatitis living in Guangxihigh liver cancer incidence area were studied. The results showed that among204 cases, 23% had non-A non-B hepatitis (NANBH), 45% had hepatitis B,31% had heptitis A, and 1% had cytomegalic virus infection. Using rapidimmune electron microscopy, we saw 27 nm viruslike particles during theacute-phase sera in one of the two patients who had developed NANBHwithout any of the seromarkers of hepatitis B virus infection. It was foundthat 25% of all patients... 204 sporadic patients with acute viral hepatitis living in Guangxihigh liver cancer incidence area were studied. The results showed that among204 cases, 23% had non-A non-B hepatitis (NANBH), 45% had hepatitis B,31% had heptitis A, and 1% had cytomegalic virus infection. Using rapidimmune electron microscopy, we saw 27 nm viruslike particles during theacute-phase sera in one of the two patients who had developed NANBHwithout any of the seromarkers of hepatitis B virus infection. It was foundthat 25% of all patients with NANBH became chronic. Epidemiologic surveysshowed that in all cases with NANBH, 21. 9% had a percutaneous injectionhistory, 12. 5% had contacted with icteric viral hepatitis patients, and 65. 6%couldn't be found attributable infective routes. 对来自广西肝癌高发区的204例散发急性病毒性肝炎患者研究的结果显示,非甲非乙型肝炎占47例(23%),乙型肝炎占92例(45%),甲型肝炎占63例(31%),巨细胞病毒感染占2例(1%),对2例所有乙肝病毒血清学指标均阴性的非甲非乙肝炎患者做了快速免疫电镜检查,结果在其中1例发现27nm病毒样颗粒。同时发现,有25%的急性非甲非肝炎转变成慢性。流行病学调查表明,在所有非甲非乙肝炎患者中,21.9%病前6个月内有经皮注射史,12.5%曾接触过病毒性黄疸肝炎病人,而65.6%找不到任何明确的感染途径。
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