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基于法医学研究数据的静脉注射吸毒者血液接触感染的患病率及死后诊断

[Prevalence and postmortem diagnosis of hemocontact infections in intravenous drug abusers based on forensic medical research data].

作者信息

Kanibolotskiĭ A A, Lun'kova L K, Makarova O V, Solokhin E V, Potemkin A M, Mitkova S V

出版信息

Sud Med Ekspert. 2003 May-Jun;46(3):14-6.

Abstract

The spread of viral hepatitis C and B and of HIV was studied among the intravenous drug consumers (IDC) on the basis of 42 forensic-medical autopsies. The enzyme immune-assay (EIA) of blood serum showed, in 95.2% of cases, antibodies to hepatitis C virus, antibodies to HbsAg and HIV were registered in 11.9% in both cases. The possibilities of using the autopsy-blood serum for EIA-diagnosis of viral hepatitis and HIV were demonstrated. Morphological examinations of IDC showed, in them, chronic hepatitis (CH) of minimal, weakly-pronounced and moderate activities. Viral CH in HIV infected IDCs is characterized by a minimal and small-pronounced activity of the process and it is not different, according to its activity, from viral CH in IDCs without HIV.

摘要

基于42例法医尸检,对静脉吸毒者中的丙型和乙型病毒性肝炎及艾滋病毒的传播情况进行了研究。血清酶免疫测定(EIA)显示,在95.2%的病例中检测到丙型肝炎病毒抗体,同时检测到乙肝表面抗原抗体和艾滋病毒抗体的病例占11.9%。证明了利用尸检血清进行病毒性肝炎和艾滋病毒EIA诊断的可能性。对静脉吸毒者的形态学检查显示,他们患有活动程度为轻度、轻度明显和中度的慢性肝炎(CH)。感染艾滋病毒的静脉吸毒者中的病毒性CH表现为病程活动程度为轻度和轻度明显,就其活动程度而言,与未感染艾滋病毒的静脉吸毒者中的病毒性CH并无差异。

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