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自体LAK细胞回输疗法治疗慢性乙型肝炎太原市传染病医院(030012)杨兴中,刘玉凤,任桂莲,荀健,李彩霞1991年7月以来,我们由北京市希波医学技术开发公司引进自体LAK细胞回输疗法治疗慢性乙型肝炎(CH)8例,乙肝病毒表面抗原携带者(ASC)5例。现将治疗结果报告如下:资料与方法一、病例选择:将1991年7月~1992年2月我科收治的有经济承受能力的慢性乙型迁延型肝炎(CPH)4例,慢性乙型活动型肝炎(CAH)4例,乙肝病毒表面抗原携带者(ASC)5例共13例作为治疗观察对象。其中男11例,女2例。年龄18~57岁,平均34岁。13例乙肝标志四阳(HBsAgHBeAg、抗HBcIGM及HBV—DNA),并于治疗前3个月HBeAg持续阳性,且无心肾等疾患。CPH、CAH及ASC的诊断符合1984年全国病毒性肝炎专题学术会议修订的诊断分型标准。二、治疗方法:除一般保肝治疗如服用维生素、施尔康、肝太乐等外。采用白细胞介素Ⅱ(IL—Ⅱ)培养自体淋巴细胞回输疗法。每周一次疗程六周。具体方法如下:无菌采患者静脉血100~120ml(肝素抗凝),分离出淋巴细胞平均5~10×108个,加入重组IL—Ⅱ1000单位(北京
Autologous LAK Cell Transfusion Therapy for Chronic Hepatitis B in Taiyuan Infectious Disease Hospital (030012) Yang Xingzhong, Liu Yufeng, Ren Guilian, Xun Jian, Li Caixia Since July 1991, we have introduced autologous LAK cells back from Beijing Hippo Medical Technology Development Co. Treatment of chronic hepatitis B (CH) 8 cases, hepatitis B virus surface antigen carriers (ASC) in 5 cases. The treatment results are reported as follows: Materials and methods First, the patient selection: July 1991 ~ February 1992 admitted to our department affordable affordable chronic hepatitis B (CPH) in 4 cases, chronic type B activity 4 cases of hepatitis C (CAH), 5 cases of hepatitis B virus surface antigen (ASC) in 5 cases as the observation object. Including 11 males and 2 females. Age 18 ~ 57 years old, average 34 years old. Thirteen HBsAg positive HBsAg (HBsAgHBeAg, anti-HBcIGM and HBV-DNA) were detected in 13 hepatitis B patients. HBeAg was positive in the first 3 months of treatment and no heart-kidney or other diseases were found. The diagnosis of CPH, CAH and ASC was in accordance with the diagnostic classification standard revised in 1984 National Symposium on Viral Hepatitis. Second, the treatment: In addition to the general liver treatment such as taking vitamins, Shi Erkang, liver too much music and so on. Interleukin II (IL-Ⅱ) was used to culture autologous lymphocytes. Once a week for six weeks. Specific methods are as follows: Aseptic mining venous blood 100 ~ 120ml (heparin anticoagulant), the average number of lymphocytes isolated 5 ~ 10 × 108, adding recombinant IL-Ⅱ1000 units (Beijing