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[瑞士血友病患者中的肝炎流行病学]

[Epidemiology of hepatitis in Swiss hemophiliacs].

作者信息

Bütler R, Stampfli K

出版信息

Schweiz Med Wochenschr. 1979 Oct 13;109(39):1449-53.

PMID:556269
Abstract

A total of 108 Swiss haemophiliacs (89 haemophilia A and 19 haemophilia B patients) were investigated for the presence of serological hepatitis B virusmarkers and for transaminase abnormalities; the patients were also evaluated regarding hepatitis history. 22% of the patients were found to have a history of acute clinical hepatitis. 82% showed signs of hepatitis B virus (or hepatitis Bs-antigen) exposure: 6% were shown to be hepatitis Bs-antigen carriers, hepatitis B2-antibodies were found in 71% and hepatitis Bc-antibodies in 72% of the patients. 39% of the haemophiliacs showed elevated transaminase activities; it must be assumed that a proportion of the patients of this group have asymptomatic chronic liver disease.

摘要

对108名瑞士血友病患者(89名甲型血友病患者和19名乙型血友病患者)进行了血清学乙肝病毒标志物及转氨酶异常情况的调查;同时还对这些患者的肝炎病史进行了评估。结果发现,22%的患者有急性临床肝炎病史。82%的患者有乙肝病毒(或乙肝表面抗原)接触迹象:6%的患者为乙肝表面抗原携带者,71%的患者检测到乙肝e抗体,72%的患者检测到乙肝核心抗体。39%的血友病患者转氨酶活性升高;必须假定该组患者中有一部分患有无症状慢性肝病。

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