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对40例有HBV感染证据但目前HBsAg阴性的肝硬化患者进行临床,病原学及预后分析,并以HBsAg阳性肝硬化作为对照组。结果HBsAg阴性组血清胆红素(SB)升高、白蛋白下降,球蛋白增高和凝血酶原活动度下降者比率均低于对照组,但病毒血症,并发症发生率和经治好转率均与对照组相近。提示HBsAg阴性的HBV相关性肝硬化具有与对照组类似的传染性,尽管肝功指标较好,但病情隐匿进展,预后未能改善。
40 cases of patients with evidence of HBV infection but the current HBsAg-negative patients with cirrhosis clinical, etiological and prognostic analysis, and HBsAg positive cirrhosis as a control group. Results Serum bilirubin (SB) increased, serum albumin decreased, globulin increased and prothrombin activity decreased in HBsAg-negative group were lower than those in control group, but the incidence of viremia, complication rate and improvement rate Similar to the control group. It is suggested that HBsAg-negative HBV-related cirrhosis is similar to that of the control group. Although the liver function is better, the condition is hidden and the prognosis is not improved.