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本文对云南省所属14个地州市的226例病毒性肝炎(VH)住院病例进行了血清甲型肝炎病毒(HAV)、乙型肝炎病毒(HBV)、丁型肝炎病毒(HDV)、EB 病毒(EBV)、及巨细胞病毒(CMV)感染及/或免疫标志的检测;其中82例作了肝活检,标本经 LM、EM 及免疫组化检查;病理与临床诊断的符合率达65.9%。HBV 是本地 VH 的主要病原体(70.8%),隐袭起病者常见。HA、HB、HD、HNANB在全省分布较广,25%的病例有2-3种病毒混合或重叠感染。
In this paper, 226 cases of viral hepatitis (VH) in 14 prefectures and cities of Yunnan Province were enrolled in this study. Serum Hepatitis A virus (HAV), Hepatitis B virus (HBV), Hepatitis D virus (HBV), Hepatitis B virus (EBV) and cytomegalovirus (CMV) infection and / or immune markers. Among them, 82 patients underwent liver biopsy. The specimens were examined by LM, EM and immunohistochemistry. The coincidence rate of pathological and clinical diagnosis was 65.9%. HBV is the main pathogen of local VH (70.8%), common in insidious patients. HA, HB, HD, HNANB widely distributed in the province, 25% of the cases of 2-3 kinds of virus mixed or overlapping infection.