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本文用32PHBV-DNA探针检测乙型肝炎(乙肝)患儿及病毒携带者尿HBV-DNA共78例,阳性率为14.1%(11/78)。结果表明乙肝病毒可经肾小球滤过,在尿中出现具有传染性。同时检测了上述患儿尿三项蛋白,即β2微球蛋白(β2MG)、白蛋白(Alb)和免疫球蛋白G(IgG),尿N-乙酰-β-D-氨基葡萄糖苷酶(NAG)及肾功能等,经与对照组比较,乙肝患儿及携带者尿β2M和Alb均有不同程度升高,而尿NAG正常。对尿蛋白异常的患儿随访3~6个月,基本恢复正常,提示蛋白尿可能为HBV致肾损害的早期表现.
In this paper, HBV DNA was detected in 78 patients with HBV and HBV carriers by 32 PHBV-DNA probe, the positive rate was 14.1% (11/78). The results show that hepatitis B virus can be glomerular filtration, appears infectious in the urine. At the same time, the urinary tripeptides (β2MG, Alb and IgG) and urine N-acetyl-β-D-glucosaminidase (NAG) And renal function, compared with the control group, children with hepatitis B and carrier urine β2M and Alb increased to varying degrees, while urinary NAG normal. Urinary protein abnormalities in children followed up for 3 to 6 months, returned to normal, suggesting that proteinuria may be an early manifestation of renal damage caused by HBV.