134例维持性血液透析患者并发病毒性肝炎的临床研究

Clinical study on 134 continous hemodialysis patients complicated with viral hepatitis

目的：了解维持性血液透析患者并发病毒性肝炎的发生率及其有关因素。方法：回顾分析１３４例行维持性血液透析的慢性肾功能衰竭患者的临床资料。结果：维持性血透患者肝炎病毒感染的发生率分别为乙型肝炎１２％、丙型肝炎４８％、混合感染８％，发生率的高低同反复输血及透析年限有关。结论：病毒性肝炎仍是血液透析的主要并发症之一，其中以丙型肝炎发生率最高，控制传染源、减少输血。

Objective: To study the incidence of viral hepatitis and its related factors in patients undergoing continous hemodialysis (CHD) Methods: Retrospective analysis was performed in 134 patients with chronic renal failure who were undergoing CHD Results: The incidences of viral hepatitis in CHD patients were 12% for hepatitis B, 48% for hepatitis C and 8% for coinfection, respectively The incidences of hepatitis viruses infections were closely related to repeated blood transfusions and duration of dialysis Conclusion: Viral hepatitis is still the one of main complications in hemodialysis, with hepatitis C being the most common one The key of reducing the incidence of viral hepatitis in hemodialysis is to control contagion, reducing the frequency of blood transfusion and avoid crossed infection