317例病毒性肝炎患者6型肝炎病毒混合感染现状

The serologic analysis of 6 types of hepatotropic virus in 317 patients with viral hepatitis

目的 为了了解天津地区病毒性肝炎患者中 6型肝炎病毒混合感染情况 ,对 317例肝炎住院病人 ,进行了 6型肝炎病毒的检测。方法 采用 EL ISA方法。结果 发现单一感染者 2 19例(6 9.1% ) ,其中以乙型肝炎所占比重最大 (76 .2 6 % )。有 98例 (30 .9% )感染了 2种或 2种以上的肝炎病毒。 2种肝炎病毒混合感染者共 84例 ,其中以 HBV/ HEV和 HAV/ HBV所占比重最大 ,分别为 2 5例 (2 5 .5 % )和 2 1例 (2 1.4% ) ,有 13例 (13.3% )为 3种肝炎病毒混合感染 ,有 1例 (1.0 % )为4种肝炎病毒混合感染。结论 本研究发现 ,病毒性肝炎患者中混合感染者所占比重较高 ,使肝病患者临床症状更为复杂 ,值得临床诊治高度重视。

Objective To investigate the commingle infection status of 6 types of hepatotropic virus in 317 patients with viral hepatitis. Methods The ELISA was used. Results 219 (69.1%) cases with single virus infection were detected. The proportion of HBV infection (76.26%) was the highest. There were 98 (30.9%) patients with mixed infection. There were 84 cases infected with 2 types of hepatitis virus. Among them the proportion of HBV/HEV and HAV/HBV were the relatively higher. There were 13(13.3%)patients infected with 3 types of hepatitis virus. 1(1.0%) patient was co infected with 4 hepatitis viruses. Conclusions Mixed viral hepatitis infection is common in our series and it usually deteriorates the clinical illness.