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急性戊型肝炎患者血清病毒抗原检测的临床意义
Detection of HEV Antigen in Patients with Acute Hepatitis E Infection
【摘要】 目的:探讨戊型肝炎抗原诊断试剂在临床诊断戊型肝炎病毒感染中的作用。方法:应用酶联免疫吸附试验方法检测戊型肝炎病毒抗原(HEV-Ag)试剂,对387例急性戊型肝炎患者血清标本进行检测,同时进行HEV RNA、抗HEV-IgM、抗HEV-IgG检测。结果:387例急性戊型肝炎患者血清HEV-Ag 140例(36.18%)阳性;单纯抗HEV-IgM阳性组的HEV-Ag阳性率最高;12例患者早期血清HEV-Ag阳性,随访过程中抗HEV-IgM与抗HEV-IgG阳转。结论:通过HEV-Ag检测,可以提高戊型肝炎病毒感染的诊断水平。
【Abstract】 Objective:To discuss the clinical significance with using the diagnostic reagent of HEV-Ag.Methods:Three hundred and eighty seven sera from the patients with acute hepatitis E were detected by enzyme immunoassay(ELISA) for HEV-Ag,anti-HEV IgM and IgG and real time fluorescent RT-PCR for HEVRNA.Results:The serum samples from 140(36.18%)of 387 patients were positive for HEV-Ag.Sera of anti-HEV IgM positive alone were the highest positive rate of HEV-Ag.12 patients were positive for HEV-Ag and HEV-RNA in the early time of infection.Conclusion:Detection of HEV-Ag can raise the early diagnosis of HEV.
【Key words】 Hepatitis E/diagnosis; Hepatitis E virus/immunology; Hepatitis Antigens/analysis; Acute Disease; Humans;
- 【文献出处】 中国误诊学杂志 ,Chinese Journal of Misdiagnostics , 编辑部邮箱 ,2009年18期
- 【分类号】R512.65;R446.6
- 【被引频次】3
- 【下载频次】119