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作者从过去6年间的肝活检病例中,选择伴有肝炎病毒以外的病毒感染的肝损害、出现急性病毒性肝炎样病程的全身性病毒感染病例(包括传染性单核症14例,巨细胞病毒肝炎2例,单纯疱疹肝炎1例,原来均为健康成人)进行了研究。一、传染性单核症肝炎:有特有的临床症状和化验结果,具有下列三项之一者:(1)EB病毒VCA(IgM)抗体阳性;(2)该EADR(IgG)抗体一过性阳性;(3)该VCA(IgG)抗体按时上升4倍以上。结果阳性者分别为7,12和1例次。而Paul—Bunnell反应异常者仅2例。症状和体征:全身倦怠、发热、食欲不振、肝肿大发生率较高。特异症状有头痛、
From the liver biopsy cases in the past six years, the authors selected the cases of systemic viral infection with acute viral hepatitis-like illness (including 14 cases of infectious mononucleosis, cytomegalovirus 2 cases of hepatitis, 1 case of herpes simplex hepatitis, all were healthy adults) were studied. First, the infectious mononuclear hepatitis: a unique clinical symptoms and laboratory test results, with one of the following three: (1) Epstein-Barr virus VCA (IgM) antibody positive; (2) the EADR (IgG) antibody transient Positive; (3) The VCA (IgG) antibody increased more than 4 times on time. The positive results were 7, 12 and 1 cases respectively. The Paul-Bunnell reaction was only 2 cases. Symptoms and signs: systemic fatigue, fever, loss of appetite, a higher incidence of hepatomegaly. Specific symptoms of headache,