Pár A
Magyar Gastroenterológiai Társaság Hepatológiai Sectiója.
Orv Hetil. 1990 Oct 21;131(42):2295-8.
In the introduction, a brief overview is given on the clinical aspects and classification of non-A, non-B hepatitis and on the discovery of hepatitis C virus. Using a recombinant hepatitis C virus antigen in an ELISA test system, for the demonstration of the antibody to hepatitis C virus, a new possibility became available in the serological diagnosis of non-A, non-B hepatitis. According to the previous hepatitis C virus antibody studies performed in Western Europe and in Hungary, the results of the present multicentre study also show that hepatitis C virus infection is frequent mainly in the post-transfusion chronic non-A, non-B hepatitis (87%) and in haemophiliacs (86%). In addition, antibody to hepatitis C virus occurs in open-heart surgery (27%) as well as in haemodialysed patients (20%), furthermore, it can be found in other forms of liver disease of various aetiology, e. g. in chronic HBsAg-positive hepatitis (33%), autoimmune liver diseases (20%) and chronic alcoholic hepatitis (14%) as well. The parenterally transmitted non-A, non-B hepatitis, practically the hepatitis C virus-related liver disease often leads to cirrhosis or even carcinoma. As its treatment is unsolved question yet, the prevention seems to be of great importance, the preventive measures of post-transfusion hepatitis C virus infection is listed.
在引言部分,简要概述了非甲非乙型肝炎的临床方面和分类以及丙型肝炎病毒的发现。在酶联免疫吸附试验(ELISA)系统中使用重组丙型肝炎病毒抗原检测丙型肝炎病毒抗体,为非甲非乙型肝炎的血清学诊断提供了一种新的可能。根据此前在西欧和匈牙利进行的丙型肝炎病毒抗体研究,本多中心研究结果也表明,丙型肝炎病毒感染主要常见于输血后慢性非甲非乙型肝炎患者(87%)和血友病患者(86%)中。此外,在心脏直视手术患者(27%)以及血液透析患者(20%)中也可检测到丙型肝炎病毒抗体,而且在其他各种病因的肝病中也能发现,例如慢性乙肝表面抗原(HBsAg)阳性肝炎(33%)、自身免疫性肝病(20%)和慢性酒精性肝炎(14%)。经肠道外传播的非甲非乙型肝炎,实际上与丙型肝炎病毒相关的肝病常导致肝硬化甚至肝癌。由于其治疗仍是一个尚未解决的问题,预防似乎至关重要,文中列出了输血后丙型肝炎病毒感染的预防措施。