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[输血与病毒性疾病。关于病毒性肝炎病毒、巨细胞病毒和爱泼斯坦-巴尔病毒的最新研究成果]

[Blood transfusion and viral diseases. Recent acquisitions concerning viral hepatitis viruses, cytomegaloviruses and Epstein-Barr virus].

作者信息

Spanò C

出版信息

Minerva Med. 1979 Feb 11;70(7):513-20.

PMID:219399
Abstract

In recent years, an increasingly clear picture has been formed of the virus-induced syndromes that may follow a blood transfusion or the use of blood derivatives. Up to about 10 years ago, post-infusion infection was predominantly due to serum hepatitis. Blumberg's discovery of HBsAg (formerly known as Australia antigen) has made it possible to check and prevent viral hepatitis, type B, and to recognise such distinct forms as the mononucleosis-like syndrome caused by cytomegalic virus, infectious mononucleosis caused by EB virus, and so-called non A/non B hepatitis. A brief account of recent advances with respect to the biological features of the viruses responsible for type A and type B hepatitis, CMV and EB virus, and their behaviour in man is followed by an examination of the transfusional aspects, the methods used in their study, and the difficulties involved. The soundness of existing methods and the need for their standardisation are discussed.

摘要

近年来,输血或使用血液衍生物后可能出现的病毒诱导综合征已形成了越来越清晰的图景。直到大约10年前,输血后感染主要是由血清性肝炎引起的。布伦伯格发现乙肝表面抗原(以前称为澳大利亚抗原)使得检查和预防乙型病毒性肝炎成为可能,并能识别巨细胞病毒引起的单核细胞增多症样综合征、EB病毒引起的传染性单核细胞增多症以及所谓的非甲非乙型肝炎等不同形式。本文先简要介绍甲型和乙型肝炎病毒、巨细胞病毒和EB病毒的生物学特性及其在人体内的行为方面的最新进展,随后考察输血相关问题、研究这些病毒所采用的方法以及其中涉及的困难。还讨论了现有方法的可靠性及其标准化的必要性。

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