Abstract
陈紫榕,刘小朋,李龙洋,林华,周善健,张国安.肝炎病毒重叠感染[J].Chinese journal of Epidemiology,1994,15(5):275-277
肝炎病毒重叠感染
Superinfection of Hepatitis Viruses
Received:May 07, 1993  Revised:November 05, 1993
DOI:
KeyWord: 肝炎病毒  重叠感染
English Key Word: Hepatitis viruses  Superinfection
FundProject:
Author NameAffiliation
Chen Zirong Air Force Fuzhou Hospital, Fuzhou 350002 
Liu Xiaopeng Air Force Fuzhou Hospital, Fuzhou 350002 
Li Longyang Air Force Fuzhou Hospital, Fuzhou 350002 
林华 Air Force Fuzhou Hospital, Fuzhou 350002 
周善健 Air Force Fuzhou Hospital, Fuzhou 350002 
张国安 Air Force Fuzhou Hospital, Fuzhou 350002 
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Abstract:
      185例HBV感染者,用ELISA法检测抗-HAV-IgM和抗-HCV。HBV感染者的HAV、HBV二重感染率为17.30%,HBV、HCV二重感染率为3.24%,HAV、HBV、HCV三重感染率为0.54%。32例HAV和HBV二重感染者,HBeAg 28例转阴;与153例单纯HBV感染者57例转阴比较,有显著性差异(P<0.05)。32例甲、乙型肝炎二重感染者,肝功复常天数(30.3±12.1)与230例单纯甲型肝炎复常天数(25.5±13.5)比较,也有显著性差异。HBV和HCV二重感染以及HAV、HBV、HCV三重感染者,也使HBeAg转阴,病情重、病程长。这些结果提示,甲、乙、丙型肝炎重叠感染比单一感染者的预后差,不少甲型肝炎慢性化可能是重叠感染乙型肝炎或/及丙型肝炎的缘故。
English Abstract:
      Using ELISA method, anti-HAV-IgM and anti-HCV were determined in 493 blood donors and 192 patients with HBV infection. The positive rate of anti-HCV in blood donors was 1.62%. The superinfection rates of HBV and HAV, HBV and HCV, HBV, HAV and HCV in patients with HBV infection were 16.7%, 3.13% and 0.52%, respectively. The incidence of hepatitis B viral replication marker was found to be lower in patients with superinfection of types A and B and/or C hepatitis viruses than in those with HBV infection alone. The prolonged course was found to be longer and the degree severer in patients with superinfection of types A and B and/or C hapatitis viruses than in those with HAV or HBV or HCV infection alone. The results suggest that those patients with superinfection of types A and B and/or C hepatitis viruses showed poor prognosis and prolonged course, and many patients with chronic Type A hepatitis resulted from superinfection HBV and/or HCV.
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