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总结丙型肝炎104例,其中乙、丙型肝炎病毒双重感染63例,认为二者重叠感染是我国丙型肝炎病毒(HCV)感染的主要模式.血源性传播为丙肝的主要传播途径。肝细胞的损害程度受两种病毒复制活跃程度的影响,抗HBc—IgM阳性组,乙型肝炎病毒(HBV)复制活跃,肝细胞损害重,预后差;并发HCV感染后可加重肝细胞损害,慢转率增高。HCV感染后对HBV复制有一定抑制作用。
Summary of 104 cases of hepatitis C, of which 63 cases of hepatitis B and C virus double infection, that the two overlap infection is the main mode of hepatitis C virus (HCV) infection in China. Blood-borne transmission of hepatitis C is the main route of transmission. The extent of the damage of hepatocytes was affected by the degree of replication activity of the two viruses. Anti-HBc-IgM positive group, active replication of hepatitis B virus (HBV), severe hepatocellular damage, poor prognosis; complicated with HCV infection may aggravate hepatocellular damage, Slow rate increased. HBV infection after infection has a certain inhibitory effect.