病毒性肝炎混合及重叠感染83例临床研究  

A Clinical Study of 83 Cases of Virus Hepatitis with Combined and Superimposed Infection

作　　者：高连相[1] 顾秀华[1] 李成芸[1] 肖家诚[2] 马瑛[3] 黄翠轩 刘汉钧 杨永芳[3] 

机构地区：[1]昆明医学院附一院传染科 [2]昆明医学院 [3]云南省卫生防疫站

出　　处：《昆明医科大学学报》1993年第4期35-38,共4页Journal of Kunming Medical University

摘　　要：本文通过对241例肝炎病原血清学及其中的104例进行肝活检标本免疫组织化学染色检查,发现有2～4种病毒同时感染者达83人(34.4％),不同的病原组合有10种。重叠感染(SI)者中,中老年患者达38人(62.3％)。肝活检病例中48.5％的肝脏病变比临床诊断更重,与单型的甲型肝炎(HA),乙型肝炎(HB)及混合感染(CI)病例相比、SI者住院治疗时间更长,疗效更差。对不同病原所致的肝炎分别隔离治疗,以杜绝交叉感染,势在必行。By examining the etiologic serology of 241 cases of hepatitis and the histochemistry of 104 liver biopsies of hepatitis, We have found that the infected persons or infectors who have combined infection with 2-4 viruses are 83 cases (34.4%), with ten types of etiological com- binations. The middle-aged and aged patients possess 38 cases (62.3%) among the patients of superimposed infectors (SI) . The pathological findings of the liver of 48.5% are more se- rious than clinical diagnosis. Compared with simple hepatits A (HA), hapatitis B (HB) and combined infection (CI), SI requires longer duration for treatment and get worse cura- tive effects. It is definitely necessary to treat and isolate the hepatitis patients who have differ- ent etiologies in order to prevent the cross infections.

关 键 词：病毒性肝炎 混合感染 重叠感染 病原学 

分 类 号：R[医药卫生]