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报道102例晚期血吸虫病(简称晚血)与乙型肝炎(简称乙肝)之间临床和肝活组织病理学的联系。全部病人来自血吸虫病流行区,均无明显肝炎病史,其中有输血史者23例;因巨脾、脾功能亢进而住院作脾切除术。临床方面包括临床表现、肝功能、血象等。78例作血清HBsAg、抗-HBc和抗-HBs检测。结果,全部病人均有慢性肝病表现。血清乙肝标志一项以上阳性者,78例中有51例(65.38%)。病理学方面结果,诊断为血吸虫病者65例,其中单纯血吸虫病12例,血吸虫病并发肝炎者53例。诊断为肝炎者88例,其中单纯
Reported 102 cases of advanced schistosomiasis (referred to as late blood) and hepatitis B (referred to as hepatitis B) clinical and liver biopsy pathology. All patients from the endemic area of schistosomiasis, no significant history of hepatitis, including blood transfusion in 23 cases; due to splenomegaly, hypersplenism and hospitalization for splenectomy. Clinical aspects include clinical manifestations, liver function, blood and other. 78 cases of serum HBsAg, anti-HBc and anti-HBs detection. As a result, all patients had chronic liver disease. Serum HBV markers more than one positive, 78 cases of 51 patients (65.38%). Pathological results, the diagnosis of schistosomiasis in 65 cases, of which 12 cases of pure schistosomiasis, schistosomiasis complicated by hepatitis in 53 cases. 88 cases were diagnosed as hepatitis, of which simple