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输血后肝炎60例报告
POSTTRANSFUSION HEPATITIS A REPORT OF 60 CASES
【摘要】 本文报告输血后肝炎60例,占同期肝炎总收治数的0.61%。其平均潜伏期为67天,94%病例急性起病,血清总胆红质平均值7.18毫克%,血清谷丙转氨酶平均值649单位,血清HBsAg阳性检出率49%。60例中,急性黄疸型肝炎占65%,暴发型肝炎占22%。本组病例的总病死率为20%。本文同时对输血后肝炎的病原学作了探讨,并提出防治意见。
【Abstract】 60 Cases of hepatitis following blood transfusion were observed from January 1972 through September 1979, which gave 0.61% of all hepatitis cases in this period. The mean incubation period was 67 days. 94% of the cases began with acute onset. The average maximum serum bilirubin was 7.18 mg/dl and SGPT 649 units. Serum HBsAg was detected successively in 49% of the cases by counter immunoelectrophoresis, immune adherence haemagglutination or reverse passive haemagglutination. Clinically, 60% of the cases presented as icteric hepatitis, 11% anicteric hepatitis, 5% chronic form, 2% subacute liver necroses and 22% fulminating hepatitis. The mortality of the present series was 20%. The etiology of the hepatitis following blood transfusion was discussed and the means of prevention was also suggested.
- 【文献出处】 上海医学 ,Shanghai Medical Journal , 编辑部邮箱 ,1980年07期
- 【被引频次】3
- 【下载频次】18