摘要
目的了解乙型肝炎(乙肝)表面抗原(HBsAg)阳性人群的转归及家庭成员感染HBV的情况。方法 2009年12月对HBsAg阳性人群(16例)及家庭成员进行HBsAg检测,阳性人员再进行肝功能和血常规(白细胞、血小板)、HBV标志物检测、临床检查以及B超检查,对HBsAg阳性人员进行分类诊断。结果共检测44份血清,其中HBsAg阳性16份(仍为2006年HBsAg阳性者)其余家庭成员HBsAg均阴性。3年内HBsAg阳转阴率为0,仅携带HBsAg者4例(25.0%),慢性肝炎病人为10例(62.5%),脂肪肝(轻度)2例,肝硬化为0,无转为肝细胞癌(HCC)者,感染乙肝病毒又感染丙肝病毒的1例。结论 HBsAg阳性者转阴的概率很小,应定期进行查体和继续关注其密切接触者。
[Objective]To understand the outcome of HBsAg-positive people and the status of HBV infection among their family members.[Methods]HBsAg were tested among HBsAg-positive people(16 cases) and their family members in December 2009.Among people who were detected with HBsA g-positive,liver function,blood routine examination(including leukocyte and blood platelet),HBV marker detection,clinical examination and B ultrasonic examination were performed.The classification diagnosis adopted among HBsAg-positive people.[Results]Among 44 serum samples which were tested,16 were HBsAg-positive(all of them were HBsAg-positive people in 2006),the family members were all negative.The negative conversion rate was 0 in three years.There were 4(25%) cases of HbsAg carrier,10(62.5%) cases of chronic hepatitis,2 cases of fat liver(light),no hepatic cirrhosis and hepatocellular carcinoma(HCC) case.One case was infected with HBV and HCV.[Conclusion]The negative conversion rate of HBsAg-positive people is very little.It is necessary to carry out the regular physical examination and pay attention to the close contacts.
出处
《职业与健康》
CAS
2010年第16期1860-1861,共2页
Occupation and Health