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[儿童慢性乙型病毒性肝炎病程及改善其治疗的尝试]

[Course of chronic virus hepatitis B in children and attempts at modifying its treatment].

作者信息

Kowalik-Mikołajewska B

机构信息

Kliniki Chorób Zakaźnych i Pasozytniczych Wieku Dzieciecego Instytutu Chorób Zakaźnych i Pasozytniczych AM, Warszawie.

出版信息

Pol Tyg Lek. 1993;48(11-13):258-60.

PMID:7694262
Abstract

60 children with chronic virus hepatitis B were followed from there to nine years. 34 children received isoprinosine, 6 prednisone and 20 children were without any therapy. There were no cases of death. In 2 cases treated with isoprinosine cirrhosis was found. Eight children with chronic active hepatitis (4 treated with isoprinosine, 1 with prednisone, and 3 without any treatment) had histological recovery. Isoprinosine significantly accelerated seroconversion in HBe system in children with chronic active hepatitis but not in children with persistent, hepatitis. Isoprinosine shortened also the time of normalisation of aminotransferases activity children. Prednisone had no influence on the course of chronic active hepatitis B in treated group.

摘要

对60名慢性乙型病毒性肝炎患儿进行了为期9年的随访。34名儿童接受了异丙肌苷治疗,6名接受了泼尼松治疗,20名儿童未接受任何治疗。无死亡病例。在接受异丙肌苷治疗的患儿中发现2例肝硬化。8例慢性活动性肝炎患儿(4例接受异丙肌苷治疗,1例接受泼尼松治疗,3例未接受任何治疗)组织学恢复。异丙肌苷显著加速了慢性活动性肝炎患儿HBe系统的血清学转换,但对持续性肝炎患儿无效。异丙肌苷还缩短了转氨酶活性恢复正常的时间。泼尼松对治疗组慢性活动性乙型肝炎的病程无影响。

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