摘要
目的总结以肝脏为主要病变的EB病毒感染的临床类型与特点。方法回顾性分析经血清学检测确诊的54例EB病毒感染者的临床资料和肝活检资料。结果临床类型分为单纯型感染(10例),混合或重叠其他病原感染(44例)。肝功能损伤以丙氨酸氨基转移酶(ALT)和血清胆红素增高为主,特别是血清直接胆红素升高明显。结论不明原因的急性肝损伤或慢性肝炎病情反复者应及时做EB病毒血清学检测;治疗上重用抗肝内胆汁淤积的药物,多数患者预后良好。
Objective To summarize the clinical type and characteristic of the typical liver lesion caused by EBV infection. Methods The clinical and liver pathological data of 54 cases infected EBV was retrospectively analyzed in patients. Result The clinical type was classified as simplex communicate cases （ n = 10 ） and mixture or overlapping other pathogen communicate cases （ n = 44）. Serum alanine aminotransferase （ ALT ） and serum bilirubin gave priority to accession, especially serum biliruhin direct distinctness rise. Conclusion Acute unknown liver lesion or the chronic repeated hepatitis should lead to EBvizas serum checkout, and the treatment should be referred to intrahepatic cholestasis drugs, with favorable prognosis in majority patients.
出处
《中国医药》
2007年第9期537-538,共2页
China Medicine
