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对76例晚血患者血清HBsAg、抗-HBc、抗-HBs3项乙肝标志与肝活组织地依红HBsAg染色作了对比分析,结果:血清乙肝标志1项以上阳性51例,标志模式多样化,以HBsAg和抗-HBc同时阳性者最多共29例,单项抗-HBc阳性者次之为11例,2例HBsAg和抗-HBs同时阳性,3例HBsAg、抗-HBc和抗-HBs同时阳性,表明存在着不同HBsAg亚型的双重感染或慢性持续性感染出现的抗原—抗体复合物,提示患者免疫功能低下。肝活组织地依红染色HBsAg阳性者共38例,其中25例具有1项以上血清乙肝标志,13例3项血清乙肝标志均阴性。26例具有1项以上血清乙肝标志者,肝活组织地依红染色HBsAg均为阴性,二者并不完全一致。
HBsAg, anti-HBc and anti-HBs in 76 patients with late-onset blood were compared with those of HBsAg-positive liver biopsies. Results: 51 cases were positive for one or more serum hepatitis B markers with diversified marker patterns, HBsAg and anti-HBc positive at the same time a total of 29 cases, single anti-HBc positive in 11 cases, 2 cases of HBsAg and anti-HBs positive at the same time, 3 cases of HBsAg, anti-HBc and anti-HBs positive at the same time, The presence of antigen-antibody complexes in dual or chronic persistent infections of different HBsAg subtypes suggests the patient is immunocompromised. There were 38 cases of HBsAg positive by red staining in liver biopsy, of which 25 cases had one or more serum hepatitis B markers, and 13 cases of 3 serum hepatitis B markers were negative. Twenty-six patients with more than one serum HBV markers had negative HBsAg staining by liver biopsy, and the two were not exactly the same.