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本文对郑州铁路中心医院1991年7月至1992年6月181例临床诊断为病毒性肝炎住院患者,采用ELA、RIA、Dig-HBY-DNA及PCR技术进行病原学诊断。结果表明,181例患者,除23例各项指标全阴性外,能分型者158例,检出率为87.29%。158例中,急性肝炎155例,慢性肝炎2例,重型肝炎1例。感染单一型110例,混合感染48例。分型结果HA占37.85%、HB占46.73%、HC占14.49%,HD占0.47%、HE未检出;从15份HB尿液用Dig-HBY-DNA探针,检出1例阳性。半年内各型肝炎患者有注射史均在55.10%-63.63%,HB、HC分别占65.31%和52.64%。对此提出相应对策。
In this paper, Zhengzhou Railway Central Hospital from July 1991 to June 1992 181 cases were diagnosed as viral hepatitis inpatients, using ELA, RIA, Dig-HBY-DNA and PCR for etiological diagnosis. The results showed that in 181 patients, except for the 23 items of all negative, the type of 158 cases, the detection rate was 87.29%. Of the 158 patients, 155 were acute hepatitis, 2 were chronic hepatitis, and 1 was severe hepatitis. 110 cases of single infection, mixed infection in 48 cases. The typing results of HA accounted for 37.85%, HB accounted for 46.73%, HC accounted for 14.49%, HD accounted for 0.47%, HE was not detected; from 15 HB urine Dig-HBY-DNA probe , One case was positive. Within half a year, patients with various types of hepatitis had an injection history of 55.10% -63.63%, with HB and HC accounting for 65.31% and 52.64% respectively. Put forward corresponding countermeasures to this.