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[免疫指标在孕妇持续性乙肝表面抗原血症诊断中的应用]

[Immunity indices in the diagnosis of persistent HBs-antigenemia in pregnant women].

作者信息

Frolov V M, Germanov V T, Peresadin N A

出版信息

Akush Ginekol (Mosk). 1993(2):13-5.

PMID:8048661
Abstract

The immunity parameters were studied in 42 pregnant women, HBsAg carriers, both clinically healthy and suffering from chronic liver diseases. Sixty pregnant women without liver diseases or HBs-antigenemia made up the reference group. A marked T-cellular immunodeficiency was revealed in pregnant women with persistent HBs-antigenemia and chronic persistent hepatitis, in contrast to the clinically healthy women whose cellular immunity parameters were the same as in healthy pregnant women. Besides cellular immunodeficiency, the pregnant women with HBs-positive chronic persistent hepatitis presented with a marked imbalance of the humoral immunity parameters and hypersensitization to liver lipoprotein, this indicating manifest shifts in the immunity system. Spontaneous abortions occurred much more often in women with chronic persistent or active hepatitides than in the controls. The authors claim that screening of pregnant women for HBsAg is advisable for deciding on the policy of pregnancy management.

摘要

对42名孕妇(HBsAg携带者,包括临床健康和患有慢性肝病者)的免疫参数进行了研究。60名无肝病或HBs抗原血症的孕妇组成了对照组。与细胞免疫参数与健康孕妇相同的临床健康女性相比,持续HBs抗原血症和慢性持续性肝炎的孕妇出现明显的T细胞免疫缺陷。除细胞免疫缺陷外,HBs阳性慢性持续性肝炎的孕妇还表现出体液免疫参数明显失衡以及对肝脂蛋白过敏,这表明免疫系统出现明显变化。慢性持续性或活动性肝炎女性的自然流产发生率比对照组高得多。作者认为,对孕妇进行HBsAg筛查有助于决定妊娠管理策略。

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