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[急性乙型肝炎的预后]

[Prognosis of acute hepatitis B].

作者信息

Malacco E, Iacono G, Risso F

出版信息

Minerva Med. 1979 Feb 18;70(8):575-81.

PMID:431875
Abstract

The clinical course, persistance of HBs antigen, and the liver biopsy morphological picture were evaluated in 40 patients with acute viral hepatitis, type B. In 34 cases, the disease ran a satisfactory course and clinical cure was corroborated histologically. In 4 cases, onset was particularly severe and the disease ran a long course. Here the immunological test for HBs antigen was still positive 8 weeks after the disease began, while a biopsy at 4 months showed a morphological picture similar to that of acute hepatitis. Lastly, two cases with a protracted clinical course displayed persistent HBs antigen positivity one year after the acute episode, with a histological finding of persistent hepatitis and cirrhosis of the liver respectively.

摘要

对40例乙型急性病毒性肝炎患者的临床病程、乙肝表面抗原(HBs抗原)持续存在情况及肝活检形态学表现进行了评估。34例患者病情进展顺利,临床治愈得到了组织学证实。4例患者起病特别严重,病程较长。这些患者在发病8周后,HBs抗原免疫检测仍为阳性,而在4个月时进行的活检显示形态学表现与急性肝炎相似。最后,2例病程迁延的患者在急性发作1年后HBs抗原持续呈阳性,组织学检查分别发现持续性肝炎和肝硬化。

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