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老年病毒性肝炎病因学分析

A STUDY OF VIRAL CLASSIFICATION ON HEPATITIS OF ELDERLY PEOPLE

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【作者】 赵志新姚集鲁黄桂梅崇雨田彭文伟

【Author】 Zhao Zhixin Yao Jilu Huang Guimei Chong Yutian Peng Wenwei (Department of Infectious Diseases, 3rd Affiliated Hospital, Sun Yat sen University of Medical Sciences,Guangzhou,510630)

【机构】 中山医科大学附属第三医院传染病科

【摘要】 总结160例60岁以上老年性病毒性肝炎的病毒类型,并与100例20~35岁年龄组肝炎进行对照。近年老年性肝炎组有以下特点:①仍以乙型肝炎为主(占33.8%);丙型及戊型肝炎各占23.2%及16.3%,较青年组多见;②重叠肝炎病毒感染多(28/160例,占17.5%),占老年组重症肝炎32.1%。重叠感染中慢性肝炎基础以乙型肝炎为主,丙型肝炎少见,重叠感染中急性肝炎以戊型及丙型多见;③临床类型以急性肝炎、慢性重症肝炎、肝炎肝硬化多见;急性肝炎中以戊型肝炎为主,而慢性重症肝炎、肝炎肝硬化以乙型肝炎为主。④丙型肝炎中86.4%及重叠感染中42.9%有输血制品或(和)手术史。

【Abstract】 A viral classification analysis on hepatitis of aged people in recent years was carried out. 160 cases were studied with 100 cases hepatitis in 20~35 years old people as control. There are several features in elderly cases:(1) Suffered mainly from hepatitis B(33.8%) with a higher incidence in hepatitis C and E (23.2%and 16.3%,respectively)(2)Higher superinfection rate, up to 32. 1% in severe hepatitis. HEV was the were main cause of acute hepatitis in superinfection cases. (3)Clinical forms rvere mainly acute hepatitis、severe hepatitis and cirrhosis. HEV was the main pathogen in acute hepatitis while HBV was the main pathogen of chronic hepatitis、cirrhosis and severe hepatitis. (4) History of blood transfusion and/or surgery were noted in most cases with hepatitis C and superinfection cases (86.4% and 42.9%,respectively).

  • 【文献出处】 中山医科大学学报 ,ACADEMIC JOURNAL OF SUN YAT-SEN UNIVERSITY OF MEDICAL SCIENCES , 编辑部邮箱 ,1997年04期
  • 【分类号】R512.6
  • 【被引频次】2
  • 【下载频次】31
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