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本文就衡阳地区乙肝并丁型肝炎病毒(HDV)感染率作了初步调查研究。对106例HBV 感染者用酶标(ELISA)法检测 HDAg 及抗-HD,结果 HDAg 阳性者9例,抗-HD阳性者13例,总阳性率为19.81%(21/106)。表明当地有丁肝流行。本组21例 HBV 并 HDV感染者中,急性肝炎总阳性率为14.13%(13/92),慢性肝炎阳性率为57.14%(8/14),提示慢性肝炎并 HDV 感染率明显高于急性肝炎。分析其原因:可能为两种病毒联合或重叠感染的累积、相加作用而加重肝脏损害。促使急肝向慢肝、肝硬化发展或进展为重肝。为防止丁肝继续流行,提倡广泛推行乙肝疫苗接种。
In this paper, Hengyang Hepatitis B and hepatitis B virus (HDV) infection rate was initially investigated. Of 106 cases of HBV infection by ELISA (ELISA) detection of HDAg and anti-HD, the results of HDAg-positive in 9 cases, anti-HD positive in 13 cases, the total positive rate was 19.81% (21/106). That there is a prevalence of hepatitis D in the area. The group of 21 patients with HBV and HDV infection, the total positive rate of acute hepatitis was 14.13% (13/92), the positive rate of chronic hepatitis was 57.14% (8/14), suggesting that chronic hepatitis and HDV infection was significantly higher than acute hepatitis . Analysis of the reasons: may be the cumulative combination of two viruses, or overlap, add to the role of aggravating liver damage. Prompt acute liver to slow liver, cirrhosis or progression to severe liver. To prevent the continued epidemic of hepatitis D, hepatitis B vaccination is widely promoted.