病毒性肝炎并发嗜酸性白细胞增多三例报告

来源 :湖南医学院学报 | 被引量 : 0次 | 上传用户:duyuh
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病毒性肝炎在急性期往往可有血清病样表现,邬祥惠等曾报告慢性病毒性肝炎患者血清IgE 增高(中华传染病杂志1985;3(1):8),但未提到是否同时有嗜酸性白细胞增多;笔者在临床上观察三例嗜酸性白细胞增多患者,经删除其他可能引起嗜酸性白细胞增多的原因,初步认为与 HBV 感染有关。例1,男,20岁,因乏力,厌食,右上腹不适28天入院。住院后体检除肝在肋缘下1.0厘米外,无其他异常发现,肝功能检查,黄疸指数7单位,锌浊度试验14单位,谷丙转氨酶57单位,HBsAg(+),HBeAg(+); Viral hepatitis in the acute phase often have serum disease-like performance, Wu Xianghui, who have reported serum IgE in patients with chronic viral hepatitis increased (Journal of Infectious Diseases 1985; 3 (1): 8), but did not mention whether eosinophilic white blood cells Increased; the author observed in clinical cases of three cases of eosinophils, by deleting the other may cause eosinophilia, initially believed that with HBV infection. Example 1, male, 20 years old, due to fatigue, anorexia, right upper quadrant discomfort 28 days admission. There were no other abnormal findings except hepatic margin 1.0 cm below the rib margin after hospitalization. Liver function tests, jaundice index 7 units, zinc turbidity test 14 units, alanine aminotransferase 57 units, HBsAg (+), HBeAg (+);
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