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62例老年非病毒性肝损伤患者临床特点和病因分析 被引量:3
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作者 任卫英 罗蔓 +2 位作者 卢璐 张顺财 胡予 《中华老年多器官疾病杂志》 2012年第3期192-195,共4页
目的探讨老年非病毒性肝损伤患者的临床特点和病因,指导临床诊断和治疗。方法回顾性分析62例2006年1月至2009年6月期间复旦大学附属中山医院收治的非病毒(已知甲~戊型肝炎病毒、单纯疱疹病毒、巨细胞病毒、EB病毒和柯萨奇病毒)感染... 目的探讨老年非病毒性肝损伤患者的临床特点和病因,指导临床诊断和治疗。方法回顾性分析62例2006年1月至2009年6月期间复旦大学附属中山医院收治的非病毒(已知甲~戊型肝炎病毒、单纯疱疹病毒、巨细胞病毒、EB病毒和柯萨奇病毒)感染所致的60岁及以上肝功能异常患者的临床资料,并与98例同期住院的60岁以下成年人非病毒性肝损伤患者进行比较。结果老年jE病毒性肝损伤患者临床表现无特异性,乏力和纳差的发生率明显高于非老年组(P〈0.05);老年组患者中引起肝功能异常的病因以药物性肝病(DILD)居首位(40.32%),其它依次为非酒精性脂肪性肝病(NAFLD)(20.97%)、胆源性疾病(17.74%)、心肺功能不全(9.68%);丙氨酸氨基转移酶(ALT)和天冬氨酸氨基转移酶(AST)在DILD患者中增高最为明显,老年组DILD患者ALT和AST高于非老年组[ALT:(775.83±478.51)vs(526.44±401.54)U/L,AST:(663.61±464.85)VS(457.45±521.78)U/L;P〈0.01]。引起老年人肝损伤的药物主要是中药(40%)、非甾体类消炎药(12%)和HMG-CoA还原酶抑制剂(12%)。结论老年非病毒性肝损伤患者以DILD最为多见,其次为NAFLD和非肝源性疾病导致肝损伤,临床医师应特别重视老年人药物性肝病的防治。 展开更多
关键词 老年人 病毒性肝损伤 临床特征 药物性
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用ROC曲线分析八种常用检测指标在病毒性肝损伤中的诊断价值 被引量:3
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作者 樊锡凤 尹志辉 《河北医药》 CAS 2010年第1期116-117,共2页
关键词 ROC曲线 病毒性肝损伤 功能 血脂 凝血酶原活动度
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赵国荣教授治疗非病毒性肝损伤2例体会 被引量:2
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作者 张柏盛 《中医药导报》 2010年第5期21-22,共2页
赵国荣教授从事中医内科、感染科及中西医结合临床、科研、教学三十余载,尤善用经方及温病方治疗各种肝病,临床上多取良效。笔者跟师多年,幸得赵师悉心教诲,获益颇多。兹举非病毒性肝损伤验案两则,略述心得。
关键词 病毒性肝损伤 妊娠黄疸 中医 赵国荣
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rAAV8-1.3HBV构建小鼠病毒性肝损伤模型研究
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作者 康超 王金鑫 黄卉 《自然科学》 2019年第5期413-428,共16页
目的:用高嗜肝性的重组8型腺相关病毒载体携带C基因型(adr亚型) 1.3拷贝乙型肝炎病毒,建立HBV持续复制的小鼠病毒性肝损伤模型。方法:将rAAV8-1.3HBV经尾静脉注射到78只C57BL/6小鼠体内,通过定量检测血清中HBV DNA、HBeAg、HBsAg含量,... 目的:用高嗜肝性的重组8型腺相关病毒载体携带C基因型(adr亚型) 1.3拷贝乙型肝炎病毒,建立HBV持续复制的小鼠病毒性肝损伤模型。方法:将rAAV8-1.3HBV经尾静脉注射到78只C57BL/6小鼠体内,通过定量检测血清中HBV DNA、HBeAg、HBsAg含量,同时检测血清学AST、ALT活力值以及病毒注射后8周、12周、16周、20周、24周时取实验组动物肝脏做HE染色分析,最终建立HBV持续复制的小鼠病毒性肝损伤模型。结果:C57BL/6小鼠注射rAAV8-1.3HBV后,8周至24周小鼠血清中可检测出稳定表达的HBV,且20周和24周HE染色病理结果显示肝组织内可见肝小叶内点状、灶状以淋巴、单核细胞为主的炎细胞浸润,肝小叶内的炎性浸润灶数量较多,分布范围较广,与对照组相比,病变程度及累计范围明显加重。结论:利用rAAV8体内转导C57BL/6小鼠,成功地建立了HBV病毒性肝损伤小鼠模型,此模型在病毒注射20周后逐渐出现病毒性肝损伤特征,可用于病毒性肝损伤的研究。 展开更多
关键词 rAAV8-1.3HBV HBV 病毒性肝损伤 乙型毒性
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肝功能检验结果与常见非病毒性肝损伤程度探讨
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作者 张静 《健康之路》 2016年第10期68-68,共1页
目的:分析肝功能检验结果与常见非病毒性肝损伤程度。方法:选取62例医院常见的非病毒性肝损伤患者,为所有患者实施肝功能检验,分析肝功能检验结果与常见非病毒性肝损伤程度之间的关系。结果:常见的非病毒性肝损伤患者肝功能检查中,普遍... 目的:分析肝功能检验结果与常见非病毒性肝损伤程度。方法:选取62例医院常见的非病毒性肝损伤患者,为所有患者实施肝功能检验,分析肝功能检验结果与常见非病毒性肝损伤程度之间的关系。结果:常见的非病毒性肝损伤患者肝功能检查中,普遍存在着丙氨酸氨基转移酶上升以及天冬氨酸氨基转移酶显著提升等情况,与正常肝功能检查指标对比差异显著(p<0.05)。结论:常见非病毒性肝损伤主要包含慢性酒精性肝损伤及肝硬化,脂肪肝,药物性肝损伤以及肝癌等,肝功能检验中能够看到患者丙氨酸氨基转移酶与天冬氨酸氨基转移酶显著提升,可以作为检验患者肝功能损伤情况的有效指标。 展开更多
关键词 功能检验 病毒性肝损伤 损伤程度
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HBV感染致肝损伤患者CRP,hsCRP和SAA临床价值的探讨 被引量:13
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作者 黄允 李艳 +1 位作者 彭锐 戴雯 《现代检验医学杂志》 CAS 2017年第2期49-52,共4页
目的探讨乙型肝炎病毒感染引起肝损伤的患者血清C反应蛋白(CRP)、超敏C反应蛋白(hsCRP)和血清淀粉样蛋白A(SAA)水平对肝脏受损程度的诊断价值。方法纳入武汉大学人民医院感染科乙型肝炎病毒型肝损伤患者127例,并分组,其中临床诊断为急... 目的探讨乙型肝炎病毒感染引起肝损伤的患者血清C反应蛋白(CRP)、超敏C反应蛋白(hsCRP)和血清淀粉样蛋白A(SAA)水平对肝脏受损程度的诊断价值。方法纳入武汉大学人民医院感染科乙型肝炎病毒型肝损伤患者127例,并分组,其中临床诊断为急慢性乙型肝炎患者(轻度组)47例,乙肝后肝硬化患者(中度组)35例,慢加急性肝衰竭患者(重度组)45例。同时纳入健康体检者50例。检测上述人群血清CRP,hsCRP和SAA水平,进行统计学分析。结果①病例组与对照组血清CRP和hsCRP水平差异有统计学意义(Mann-Whitney U检验,Z=-2.792,-8.458;P<0.01)。②病例组间血清h8CRP水平差异有统计学意义(Kru8kal-Wallis H检验,x^2=11.625,P<0.01)。③中度组和重度组血清hsCRP水平与轻度组比较,差异有统计学意义(Mann-Whitney U检验,Z=-2.849,-2.902;P<0.01)。④各组间血清SAA水平差异无统计学意义。⑤hsCRP在乙型肝炎病毒致肝损伤患者总体中阳性率为76.29%,高于CRP(11.34%),SAA(26.80%)。结论①乙型肝炎病毒致肝损伤患者血清CRP水平的临床价值优于SAA;②hsCRP水平(免疫比浊法)的临床价值优于CRP(免疫荧光法)。 展开更多
关键词 乙型 病毒性肝损伤 C反应蛋白 超敏C反应蛋白 血清淀粉样蛋白A
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Role of chemokines and their receptors in viral persistence and liver damage during chronic hepatitis C virus infection 被引量:13
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作者 Juan R Larrubia Selma Benito-Martínez +2 位作者 Miryam Calvino Eduardo Sanz-de-Villalobos Trinidad Parra-Cid 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第47期7149-7159,共11页
Chemokines produced in the liver during hepatitis C virus(HCV) infection induce migration of activated T cells from the periphery to infected parenchyma.The milieu of chemokines secreted by infected hepatocytes is pre... Chemokines produced in the liver during hepatitis C virus(HCV) infection induce migration of activated T cells from the periphery to infected parenchyma.The milieu of chemokines secreted by infected hepatocytes is predominantly associated with the T-helper cell/Tc1 T cell(Th1/Tc1) response.These chemokines consist of CCL3(macrophage inflammatory protein-1α;MIP-1α),CCL4(MIP-1β),CCL5(regulated on activation normal T cell expressed and secreted;RANTES),CXCL10(interferon-γ-inducible protein-10;IP-10),CXCL11(interferon-inducible T-cell α chemoattractant;I-TAC),and CXCL9(monokine induced by interferon γ;Mig) and they recruit T cells expressing either CCR5 or CXCR3 chemokine receptors.Intrahepatic and peripheral blood levels of these chemokines are increased during chronic hepatitis C.The interaction between chemokines and their receptors is essential in recruiting HCV-specific T cells to control the infection.When the adaptive immune response fails in this task,non-specific T cells without the capacity to control the infection are also recruited to the liver,and these are ultimately responsible for the persistent hepatic damage.The modulation of chemokine receptor expression and chemokine secretion could be a viral escape mechanism to avoid specific T cell migration to the liver during the early phase of infection,and to maintain liver viability during the chronic phase,by impairing non-specific T cell migration.Some chemokines and their receptors correlate with liver damage,and CXCL10(IP-10) and CXCR3 levels have shown a clinical utility as predictors of treatment response outcome.The regulation of chemokines and their receptors could be a future potential therapeutic target to decrease liver inflammation and to increase specific T cell migration to the infected liver. 展开更多
关键词 CHEMOKINES Chemokine receptors Hepatitis C virus Viral hepatitis pathogenesis Persistentinfection Viral escape mechanism
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Involvement of autophagy in alcoholic liver injury and hepatitis C pathogenesis 被引量:5
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作者 Natalia A Osna Paul G Thomes Terrence M Donohue 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第20期2507-2514,共8页
This review describes the principal pathways of macroautophagy (i.e. autophagy), microautophagy and chaperone-mediated autophagy as they are currently known to occur in mammalian cells. Because of its crucial role as ... This review describes the principal pathways of macroautophagy (i.e. autophagy), microautophagy and chaperone-mediated autophagy as they are currently known to occur in mammalian cells. Because of its crucial role as an accessory digestive organ, the liver has a particularly robust autophagic activity that is sensitive to changes in plasma and dietary components. Ethanol consumption causes major changes in hepatic protein and lipid metabolism and both are regulated by autophagy, which is significantly affected by hepatic ethanol metabolism. Ethanol exposure enhances autophagosome formation in liver cells, but suppresses lysosome function. Excessive ethanol consumption synergizes with hepatitis C virus (HCV) to exacerbate liver injury, as alcohol-consuming HCV patients frequently have a longer course of infection and more severe manifestations of chronic hepatitis than abstinent HCV patients. Alcohol-elicited exacerbation of HCV infection pathogenesis is related to modulation by ethanol metabolism of HCV replication. Additionally, as part of this mechanism, autophagic proteins have been shown to regulate viral (HCV) replication and their intracel-lular accumulation. Because ethanol induces autophagosome expression, enhanced levels of autophagic proteins may enhance HCV infectivity in liver cells of alcoholics and heavy drinkers. 展开更多
关键词 AUTOPHAGY Iysosome AUTOPHAGOSOME Hepatitis C virus Hepatitis C virus replication cycle ETHANOL
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Pancreatic involvement in chronic viral hepatitis 被引量:5
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作者 Yoshiki Katakura Hiroshi Yotsuyanagi +6 位作者 Kiyoe Hashizume Chiaki Okuse Noriaki Okuse Kohji Nishikawa Michihiro Suzuki Shiro Iino Fumio Itoh 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第23期3508-3513,共6页
AIM: To elucidate the frequency and characteristics of pancreatic disorders in the course of chronic viral hepatitis. METHODS: We prospectively assessed the serum pancreatic enzyme levels and imaging findings in patie... AIM: To elucidate the frequency and characteristics of pancreatic disorders in the course of chronic viral hepatitis. METHODS: We prospectively assessed the serum pancreatic enzyme levels and imaging findings in patients with chronic viral hepatitis and healthy control subjects. RESULTS: Serum amylase (t-Amy), salivary amylase (s-Amy), pancreatic amylase (p-Amy) and serum lipase levels were higher in hepatitis patients in comparison to control subjects. However, in asymptomatic viral carriers, only the serum t-Amy levels were higher than those of the controls. The levels of each enzyme rose with the progression of liver disease in patients with hepatitis B or C; whereas the levels of each enzyme within the same clinical stage of the disease did not differ between patients diagnosed with either hepatitis B or hepatitis C virus. Imaging findings demonstrated chronic pancreatitis in only 1 out of 202 patients (0.5%).CONCLUSION: Our data suggest that serum levels of pancreatic enzymes increase with the progression of liver disease in patients diagnosed with viral hepatitis. Pancreatic disease, asymptomatic in most cases, may represent an extrahepatic manifestation of chronic viral hepatitis. 展开更多
关键词 Hepatitis C Hepatitis B Pancreatic disorder AMYLASE LIPASE
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Replication of hepatitis B virus in primary duck hepatocytes transfected with linear viral DNA 被引量:2
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作者 Yun-Qing Yao Ding-Feng Zhang +10 位作者 Ni Tang Ai-Long Huang Xiao-Yi Zou Jiang-Feng Xiao Yun Luo Da-Zhi Zhang Bo Wang Wei-Ping Zhou Hong Ren Qi Liu Shu-Hua Guo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第32期5019-5021,共3页
AIM: To explore the expression and replication of hepatitis B virus (HBV) DNA in primary duck hepatocytes (PDHs).METHODS: Complete HBV genome was transfected into PDHs by electroporation (transfected group, 1.19×... AIM: To explore the expression and replication of hepatitis B virus (HBV) DNA in primary duck hepatocytes (PDHs).METHODS: Complete HBV genome was transfected into PDHs by electroporation (transfected group, 1.19×1012copies of linear HBV DNA/1×107 PDHs). After 1-5 d of transfection, HBsAg and HBeAg in the supernatant and lysate of PDHs were measured with the IMX System.Meanwhile, replicative intermediates of HBV DNA were analyzed by Southern blotting and Dot blotting. PDHs electroporated were used as control group.RESULTS: HBsAg in the hepatocyte lysates of transfected group was 15.24 (1 d), 14.55 (3 d) and 5.13 (5 d; P/N values, positive≥2.1) respectively. HBeAg was negative (<2.1). Both HBsAg and HBeAg were negative in the supernatant of transfected group. Dot blotting revealed that HBV DNA was strongly positive in the transfected group and negative in the control group. Southern blot analysis of intracellular total DNA indicated that there were relaxed circular (rc DNA), covalently closed circular (ccc DNA), and single-stranded (ss DNA) HBV DNA replicative intermediates in the transfected group, there was no integrated HBV DNA in the cellular genome. These parameters were negative in control group.CONCLUSION: Expression and replication of HBV genes can occur in hepatocytes from non-mammalian species.HBV replication has no critical species-specificity, and yet hepatic-specific regulating factors in hepatocytes may be essential for viral replication. 展开更多
关键词 Hepatitis B virus REPLICATION Expression Primary duck hepatocytes
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