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血浆置换患者TT病毒感染的观察

Observation of TTV infection in patients of plasma exchange

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【作者】 江元森; 黄仰苏; 姚集鲁; 凌小强; 李学俊; 彭晓谋;

【Author】 JIANG Yuansen, HUANG Yangsu, YAO Jilu, et al. The 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;

【摘要】 目的 研究血浆置换患者人群中经输血传播TT 病毒的感染状况及临床意义。方法用聚合酶链反应(PCR) 方法检测45 例血浆置换患者和慢性肝炎患者的TT病毒(TTV)感染情况,分析TTV 感染的致病力。结果 TTV 在45 例血浆置换患者中的感染率为15 .6 % (7/45) ,在87例慢性肝炎患者中的感染率3 .4 % (3/87) ,经统计学处理,两组感染率比较差异有显著性(χ2 =4 .60 ,P< 0 .05) 。7 例TTV 阳性患者中,6 例有输血史。且TTV 阳性和TTV 阴性两组之间病死率差异无统计学意义。结论 输血、血浆在传播TTV 感染有重要意义,TTV 是否导致或促进重型肝炎肝衰竭的因素,有待深入研究

【Abstract】 Objective To study the infection and clinical investigation of transfusion transmitted virus (TTV) in plasma exchange patients. Methods PCR was used in the detection of TTV infection in 45 cases of plasma exchange and 87 cases of chronic hepatitis and to evaluate its virulence. Results The positive rate of TTV were 15.6%(7/45) in 45 cases of plasma exchange and 3.4%(3/87) in 47 cases of chronic hepatitis. The difference between them was significant(χ 2= 4.60 , P <0.05). Of the seven TTV-positive patients, 6 had blood transfusion. There were no significant differences in the case fatality rate between TTV positive and TTV negative patients. Conclusion Results suggested that blood transfusion might be one of the critical routes to transmit TTV. But the role of making it the important cause of fulminant hepatitis needs further study.

【基金】 广东省自然科学基金
  • 【文献出处】 中华流行病学杂志 ,CHINESE JOURNAL OF EPIDEMIOLOGY , 编辑部邮箱 ,1999年06期
  • 【分类号】R512.6
  • 【被引频次】2
  • 【下载频次】23
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