摘要
我科于1983年1月~1993年12月,对诊断婴儿(包括新生儿)肝炎综合征的病儿92例,进行尿病毒检测70例,结果人类巨细胞病毒阳性44例,占63%,乙肝病毒阳性5例,单纯疱疹病毒及类冠状病毒各1例,总病毒检出率为72.9%。提示病毒感染,特别是人类巨细胞病毒感染是婴儿肝炎综合征的重要病因。经住院治疗4周。黄疸无明显减退者,应用单光子同位素断层扫描(SPECT)进行肝胆动态显像检查13例,结果11例为胆道闭锁,2例为肝内毛细胆管炎。此13例中尿人类巨细胞病毒(HCMV)阳性11例,提示肝胆管闭锁与人类巨细胞感染有关。
Urine viruses were detected in 70 eases out of 92 in patient infants (including neonates) with hepatitis syndrome. The result showed human cytomegalovirus positive in 44 cases, HBV in 5 cases, herpes virus in 1 case and coranalike the in 1 case. The HCMV positive rate was 63%, and total virus positive rate was 72.9%.It indicated HCMV was the main cause of infantal hepatitis syndrome.If after 4 weeks of systemic treatment the jaundice did not subside, we used SPECT to detect the causes. The results showed biliary tract obstruction in 11 cases and intrahepatic cholangiolitis in 2 cases. It indicated that hepatic and biliary tract obstruction of infantal hepatitis syndrome associated with HCMV infection.
出处
《广州医学院学报》
1996年第2期55-57,共3页
Academic Journal of Guangzhou Medical College