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[慢性丁型肝炎患者的临床形态学特征及干扰素治疗的疗效]

[The clinico-morphological characteristics and efficacy of interferon therapy in patients with chronic delta hepatitis].

作者信息

Kokoreva L N, Zmyzgova A V, Shalygina N B, Maksimov S L

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1994 Jan-Feb(1):55-9.

PMID:8184615
Abstract

The results of the examination of 20 patients having chronic hepatitis delta (CHD) with the disease lasting 1-2 years (8 patients) and 3-6 years (12 patients) are presented. In most of the patients of both groups, irrespective of the duration of the disease, the development of severe hepatic lesions has been established. The morphological study has revealed in 45% of the examined patients the presence of chronic active hepatitis leading to the cirrhosis if the liver. A prolonged course of treatment (8-12 months) with reaferon (recombinant interferon alpha 2, obtained by gene engineering technique), injected intramuscularly in a dose of 1 x 10(6) I.U. once or twice a week, has proved to be effective in 47% of CHD patients aged 15-30 years with a weak expression of autoimmune process. It is recommended that interferon therapy in patients with CHD requires individual indications.

摘要

本文呈现了对20例慢性丁型肝炎(CHD)患者的检查结果,这些患者病程为1至2年(8例)和3至6年(12例)。在两组的大多数患者中,无论病程长短,均已确定有严重肝脏病变的发生。形态学研究显示,45%的受检患者存在慢性活动性肝炎,若病情持续发展可导致肝硬化。对于15至30岁、自身免疫过程表达较弱的CHD患者,采用重组干扰素α2(通过基因工程技术获得)进行为期8至12个月的长期治疗(每周肌肉注射1×10⁶国际单位,一次或两次),结果证明47%的患者有效。建议CHD患者的干扰素治疗需依据个体指征进行。

相似文献

1
[The clinico-morphological characteristics and efficacy of interferon therapy in patients with chronic delta hepatitis].[慢性丁型肝炎患者的临床形态学特征及干扰素治疗的疗效]
Zh Mikrobiol Epidemiol Immunobiol. 1994 Jan-Feb(1):55-9.
2
[The use of reaferon in treating patients with protracted viral hepatitis].[重组干扰素治疗迁延性病毒性肝炎患者的应用]
Ter Arkh. 1994;66(2):21-4.
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[Chronic hepatitis delta--the course and approaches to therapy].[慢性丁型肝炎——病程及治疗方法]
Klin Med (Mosk). 1991 Mar;69(3):85-8.
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[The problem of the interferon therapy of patients with chronic viral hepatitis].[慢性病毒性肝炎患者的干扰素治疗问题]
Zh Mikrobiol Epidemiol Immunobiol. 1995 Sep-Oct(5):101-4.
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Long-term interferon treatment of chronic hepatitis D: a multicentre Italian study.
J Hepatol. 1990;11 Suppl 1:S149-50. doi: 10.1016/0168-8278(90)90184-s.
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[The treatment of different forms of B and delta hepatitis with interferon preparations].[用干扰素制剂治疗不同类型的乙型和丁型肝炎]
Ter Arkh. 1991;63(11):61-3.
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Long-term evolution of chronic delta hepatitis in children.儿童慢性丁型肝炎的长期演变
J Pediatr. 1993 May;122(5 Pt 1):736-8. doi: 10.1016/s0022-3476(06)80017-x.
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Treatment of chronic delta infection with recombinant human interferon alpha 2c at high doses.高剂量重组人干扰素α2c治疗慢性δ感染
J Hepatol. 1989 Nov;9(3):338-44. doi: 10.1016/0168-8278(89)90143-8.
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Coinfection with hepatitis B and C or B, C and delta viruses results in severe chronic liver disease and responds poorly to interferon-alpha treatment.乙型肝炎与丙型肝炎或乙型、丙型肝炎及丁型肝炎病毒合并感染会导致严重的慢性肝病,且对α干扰素治疗反应不佳。
J Viral Hepat. 1995;2(1):39-45. doi: 10.1111/j.1365-2893.1995.tb00070.x.
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Long-term effects of recombinant leukocyte alpha interferon in the treatment of chronic delta hepatitis.
Arch Virol Suppl. 1992;4:306-7. doi: 10.1007/978-3-7091-5633-9_69.

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