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希腊输血治疗的地中海贫血患儿中Au-Ag和Au-Ab的患病率。

Prevalence of Au-Ag and Au-Ab in transfused children with thalassaemia in Greece.

作者信息

Kattamis C, Syriopoulou V, Davri-Karamouzi Y, Demetriou D, Matsaniotis N

出版信息

Arch Dis Child. 1974 Jun;49(6):450-3. doi: 10.1136/adc.49.6.450.

DOI:10.1136/adc.49.6.450
PMID:4853764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1648784/
Abstract

The prevalence of Australia-antigen and -antibody was studied in 196 patients with thalassaemia, aged 10 months to 14 years. Au-Ag was detected in 14 patients (7%) and Au-Ab in 63 (32%). The prevalence of Au-Ag was in inverse relation to the age of the patients and in direct relation to the number of units of transfused blood. By contrast, the prevalence of Au-Ab was directly related to both the age and the number of transfused blood units. Au-Ab was detected in 61% of patients who had received more than 60 units of blood, but in only 11% of patients who had received less than 20 units. No sex difference was found in the prevalence of Au-Ag and Au-Ab. Only 2 patients with Au-Ag were without clinical or biochemical evidence of hepatitis; in all the remaining 12 patients Au-Ag persisted throughout the period of observation of from 5 to 18 months. During the same period Au-Ab was found to persist in all patients in whom it was detected. The persistence of Au-Ag and the synthesis of Au-Ab appear to be related to (a) repeated infection with type B virus and (b) the host's immune response.

摘要

对196例年龄在10个月至14岁的地中海贫血患者进行了澳大利亚抗原和抗体的患病率研究。14例患者(7%)检测到澳大利亚抗原(Au-Ag),63例(32%)检测到澳大利亚抗体(Au-Ab)。Au-Ag的患病率与患者年龄呈负相关,与输血单位数呈正相关。相比之下,Au-Ab的患病率与年龄和输血单位数均呈正相关。在接受超过60个单位血液的患者中,61%检测到Au-Ab,但在接受少于20个单位血液的患者中,仅11%检测到。未发现Au-Ag和Au-Ab的患病率存在性别差异。仅2例Au-Ag患者无肝炎的临床或生化证据;其余12例患者在5至18个月的观察期内Au-Ag持续存在。在同一时期,发现所有检测到Au-Ab的患者中该抗体均持续存在。Au-Ag的持续存在和Au-Ab的合成似乎与(a)B型病毒的反复感染和(b)宿主的免疫反应有关。

相似文献

1
Prevalence of Au-Ag and Au-Ab in transfused children with thalassaemia in Greece.希腊输血治疗的地中海贫血患儿中Au-Ag和Au-Ab的患病率。
Arch Dis Child. 1974 Jun;49(6):450-3. doi: 10.1136/adc.49.6.450.
2
Australia antigen and antibody in transfused children with thalassaemia.输血治疗的地中海贫血患儿中的澳大利亚抗原和抗体
Arch Dis Child. 1972 Oct;47(255):760-5. doi: 10.1136/adc.47.255.760.
3
[Study of anti-Au antibodies in polytransfused thalassemic patients].
Pathologica. 1971 Nov-Dec;63(925):275-9.
4
The incidence of hepatitis-associated antigen and antibody in patients with thalassaemia in Greece.希腊地中海贫血患者中肝炎相关抗原和抗体的发生率。
Vox Sang. 1970 Sep-Oct;19(3):401-3.
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Immunogenetic factors in thalassemia and hepatitis B infection. A multicentre study.地中海贫血和乙型肝炎感染中的免疫遗传因素。一项多中心研究。
Dev Biol Stand. 1975;30:257-69.
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[Incidence of Australia antigen (HB Ag) and its related antibody (HB Ab) in Siciliam thalassemic children treated with multiple transfusions].[澳大利亚抗原(HB Ag)及其相关抗体(HB Ab)在接受多次输血治疗的西西里地中海贫血儿童中的发生率]
Pediatria (Napoli). 1977 Mar 31;85(1):21-33.
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Frequency of antibodies to various antigenic determinants in polytransfused patients with homozygous thalassaemia in Greece.
Vox Sang. 1971 Mar;20(3):252-8. doi: 10.1111/j.1423-0410.1971.tb00436.x.
8
[Au-antibody and transfusion-associated hepatitis].[金抗体与输血相关肝炎]
Nihon Shokakibyo Gakkai Zasshi. 1972 Aug;69(8):849-54.
9
The genetic relationships of Australia antigen.澳大利亚抗原的遗传关系。
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Prevalence of hepatitis-B virus markers in multi-transfused thalassemic patients.
Indian Pediatr. 1988 Feb;25(2):161-5.

引用本文的文献

1
Chronic liver disease in transfusion-dependent thalassaemia: hepatitis B virus marker studies.输血依赖型地中海贫血中的慢性肝病:乙肝病毒标志物研究
J Clin Pathol. 1980 Oct;33(10):949-53. doi: 10.1136/jcp.33.10.949.
2
Role of chronic hepatitis in development of thalassaemic liver disease.慢性肝炎在地中海贫血性肝病发展中的作用。
Arch Dis Child. 1976 Sep;51(9):680-5. doi: 10.1136/adc.51.9.680.

本文引用的文献

1
Australia antigen and antibody in transfused children with thalassaemia.输血治疗的地中海贫血患儿中的澳大利亚抗原和抗体
Arch Dis Child. 1972 Oct;47(255):760-5. doi: 10.1136/adc.47.255.760.
2
What determines the incidence of serum hepatitis after blood transfusion?输血后血清性肝炎的发病率由什么决定?
Am J Dis Child. 1972 Apr;123(4):354-6. doi: 10.1001/archpedi.1972.02110100086031.
3
Australia antigen as a hepatitis virus. Variation in host response.作为肝炎病毒的澳大利亚抗原。宿主反应的变化。
Am J Med. 1970 Jan;48(1):1-8. doi: 10.1016/0002-9343(70)90093-8.
4
A serum antigen (Australia antigen) in Down's syndrome, leukemia, and hepatitis.唐氏综合征、白血病和肝炎中的一种血清抗原(澳大利亚抗原)。
Ann Intern Med. 1967 May;66(5):924-31. doi: 10.7326/0003-4819-66-5-924.
5
Viral hepatitis. New light on an old disease.病毒性肝炎。旧病新解。
JAMA. 1970 May 11;212(6):1019-29. doi: 10.1001/jama.212.6.1019.
6
Infectious hepatitis. Evidence for two distinctive clinical, epidemiological, and immunological types of infection.
JAMA. 1967 May 1;200(5):365-73. doi: 10.1001/jama.200.5.365.