摘要
目的探讨慢性乙型肝炎重叠HAV、HEV感染的临床特点,并总结其对疾病转归的影响。方法选取我院收治的179例慢性乙型肝炎患者,按照其重叠病毒的种类分为Ⅰ组66例与Ⅱ组113例。结果Ⅱ组患者丙氨酸酶基转移酶、血清总胆红素与凝血酶原时间较高,出现重症肝炎、肝性脑病与腹水的人数较多(P<0.05)。结论慢性乙型肝炎重叠HEV感染较重叠HAV感染的病情重,并发症多,可造成患者的死亡,应尽早进行治疗与预防。
Objective To discuss the clinical characteristics of chronic hepatitis B with HAV and HEV overlapping in- fection and to summarize its influence on prognosis of disease. Methods A total of 179 CI-IB patients admitted to our hospital were selected and divided into two groups according to the overlapping virus: 66 cases in group I and 113 cases in group H. Results Patients in group IT had elevated ALT, T-Bil, and PT, as well as higher serious hepatitis, hepatic encephalopathy, and ascites morbidity rate (P〈0.05). Conclusion Compared with CHB with HAV, the disease condition of chronic hepatitis B with HEV overlapping infection is more severe with more complications and higher fa- tality rate. Therefore, CHB with HEV overlapping infection should be treated and prevented in an early stage.
出处
《中国现代医生》
2014年第8期34-35,39,共3页
China Modern Doctor