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[传染性单核细胞增多症中肝损伤的临床和生物学方面]

[Clinical and biological aspects of liver damage in infectious mononucleosis].

作者信息

Cocuz Maria-Elena, Idomir Mihaela Elena, Ticău Oana Cristina

机构信息

Universitatea Transilvania Braşov.

出版信息

Bacteriol Virusol Parazitol Epidemiol. 2003 Apr-Sep;48(2-3):177-81.

Abstract

Liver damage, clinical manifest or inapparent is a frequent manifestation of infectious mononucleosis. This study has in view the forms and frequency of manifestation of liver damage in infectious mononucleosis. The retrospective study has included 115 patients with infectious mononucleosis, hospitalised in Braşov Infectious Diseases Hospital between 1.01.1998 and 31.12.2002. The enlargement of the liver as unique manifestation in liver damage was noticed in 27% of the cases; jaundice of the skin and sclerae in 10.4% of the cases; infectious mononucleosis hepatitis in 55.6% of the cases; and in 11.3% of cases high serum levels of GPT were noted. The levels of serum protein were also affected, low-grade increase of protein serum levels--18.2% of the cases, hypoalbuminemia--82.4% of cases and subunitary albumin/globulin ratio in 70.3% of the cases. All these levels might be indicators for liver damage.

摘要

肝损伤,无论是临床表现明显还是不明显,都是传染性单核细胞增多症的常见表现。本研究旨在探讨传染性单核细胞增多症中肝损伤的表现形式及发生率。这项回顾性研究纳入了1998年1月1日至2002年12月31日期间在布拉索夫传染病医院住院的115例传染性单核细胞增多症患者。在27%的病例中,肝脏肿大是肝损伤的唯一表现;10.4%的病例出现皮肤和巩膜黄疸;55.6%的病例患有传染性单核细胞增多症肝炎;11.3%的病例血清谷丙转氨酶水平升高。血清蛋白水平也受到影响,血清蛋白水平轻度升高——18.2%的病例,低白蛋白血症——82.4%的病例,白蛋白/球蛋白比值倒置——70.3%的病例。所有这些水平都可能是肝损伤的指标。

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