Iwamura K, Hirayama S
Tokai J Exp Clin Med. 1981 Oct;6(4):453-9.
Patients with liver cirrhosis have the opportunity of receiving blood transfusions rather frequently. Accidental transfusion of blood containing HBs Ag occurred in such a case. Recently, we encountered a case of hepatocellular carcinoma based on posthepatitic cirrhosis in which an emergency blood transfusion because of massive hematemesis from a gastric ulcer was followed by acute B type viral hepatitis. The remainder of the transfused blood was preserved an we tested it serologically when the symptoms of acute viral hepatitis were manifested. We are able to detect hepatitis B surface antigen in the serum. In this patient, the preceding liver cirrhosis did not influence on the clinical course of acute B type viral hepatitis and conversely, the acute B type viral hepatitis did not have any influence on the subsequent clinical course of the liver cirrhosis.
肝硬化患者有相当频繁接受输血的机会。在这样一个病例中发生了意外输注含有乙肝表面抗原的血液的情况。最近，我们遇到一例基于肝炎后肝硬化的肝细胞癌病例，该患者因胃溃疡大量呕血而进行了紧急输血，随后发生了急性乙型病毒性肝炎。所输注血液的剩余部分被保存下来，当急性病毒性肝炎症状出现时我们对其进行了血清学检测。我们能够在血清中检测到乙肝表面抗原。在该患者中，先前的肝硬化对急性乙型病毒性肝炎的临床病程没有影响，反之，急性乙型病毒性肝炎对随后的肝硬化临床病程也没有任何影响。
