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[慢性肝炎和肝硬化患者肝脏及肝门周围淋巴结中的乙肝表面抗原]

[Hepatitis B surface antigen in the liver and pericholedochal lymph nodes in chronic hepatitis and cirrhosis of the liver].

作者信息

Belozerov E S, Sagandykov B B, Shabalin V V, Arkhipov G S

出版信息

Arkh Patol. 1979;41(4):14-8.

PMID:444082
Abstract

Morphological characteristics of the liver and the presence of HBsAg in the blood serum, liver tissue, and pericholedocheal lymph nodes were examined in 25 patients with chronic liver diseases and 2 asymptomatic carriers of HBsAg. The antigen in tissues was demonstrated by indirect immunofluorescence and histochemically by staining with alcohol-arsein and aldehyde-fuxin. The antigen was found in the blood, liver tissue, and hepatocyte cytoplasm in both carriers and 10 patients. In 5 patients with liver cirrhosis and HBsAg antigenemia the antigen was also found in the liver tissue, in 1 patient it was absent in the blood but found in the liver, and in 2 patients it was absent in the blood and in the liver. In 5 patients with chronic hepatitis the antigen was demonstrated in the blood serum and the liver, in 12 patients it was not detected either in the blood or in the liver. In 8 patients enlarged pericholedocheal lymph nodes were examined, and in 6 of them HBsAg was detected in macrophages of the lymph nodes.

摘要

对25例慢性肝病患者和2例无症状HBsAg携带者的肝脏形态学特征以及血清、肝组织和肝门周围淋巴结中HBsAg的存在情况进行了检查。组织中的抗原通过间接免疫荧光法显示,并用酒精 - 砷和醛 - 复红染色进行组织化学显示。在携带者和10例患者的血液、肝组织和肝细胞胞质中均发现了该抗原。在5例肝硬化且有HBsAg抗原血症的患者中,肝组织中也发现了该抗原;1例患者血液中未发现但肝组织中有;2例患者血液和肝组织中均未发现。在5例慢性肝炎患者中,血清和肝脏中显示有该抗原;12例患者血液和肝脏中均未检测到。对8例肝门周围淋巴结肿大的患者进行了检查,其中6例在淋巴结巨噬细胞中检测到HBsAg。

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