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对185例HCV感染与输血的关系进行了追踪观察,HCV感染占病毒性肝炎总住院人数的16.46%。185例HCV感染患者有输血或血制品史者占72.30%。HCV/HBV重叠感染后HIlVM阴转或滴度下降46.24%。单纯HCV感染以无症状携带及慢性迁延性肝炎多见,部分表现为急性丙型肝炎,其肝细胞受损较轻,预后尚好。而HCV/HBV重叠感染肝功损害较重,病程迁延不愈,病情发展迅速,恶化率高,预后甚差。
The relationship between 185 cases of HCV infection and blood transfusion was followed up. HCV infection accounted for 16.46% of the total number of hospitalizations for viral hepatitis. 185 cases of HCV infection in patients with blood transfusion or history of blood accounted for 72.30%. HI1VM negative or titers decreased 46.24% after HCV / HBV infection. Simple HCV infection with asymptomatic carriers and chronic persistent hepatitis more common, part of the performance of acute hepatitis C, liver cell damage less, the prognosis is still good. The HCV / HBV overlap infection of liver damage heavier, duration of disease unhealed, the rapid development of the disease, the high rate of deterioration, the prognosis is poor.