[HBs抗原阳性患者中HBe抗原和抗HBe抗体的存在及意义]。

V Zivanović-Marinković, R Kaljalović, V Marinković, B Dumović, A Lazarov, N Nanusević, L Krstić, S Parabucki
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引用次数: 0

摘要

对105例hbe抗原携带者、30例慢性持续性肝炎患者、17例活动性肝炎患者和30例慢性血液透析hbe抗原阳性患者的血清进行了hbe抗原和抗hbe抗体的检测。hbe抗原在慢性活动性肝炎患者(88.2%)和慢性血液透析患者(86.7%)中发现的比例较高,而抗hbe抗原在这两组中发现的比例较低,分别为11.8%和3.3%。在其他两组中hbe抗原的存在较低,在慢性持续性肝炎患者中为26.7%,在无症状HBe抗原血症患者中为28.5%。慢性持续性肝炎患者的抗hbe抗体比例(70%)高于无症状hbe抗原携带者(57.1%)。hbe抗原的存在并不总是严重肝功能障碍的标志,抗HBe抗体的存在也并不总是肝功能保存的标志。
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[The presence and significance of HBe antigens and anti-HBe antibodies in HBs antigen positive patients].

There have been examined 105 sera of HBeantigen carriers, 30 of patients with chronic persistent hepatitis, 17 of patients with active hepatitis and 30 of HBeantigen-positive patients on chronic hemodialysis) for the presence of HBeantigen and antiHBe antibodies. A high percentage of HBeantigens was found in patients with chronic active hepatitis (88,2%) as well as in patients on chronic hemodialysis (86,7%) while the finding of antiHBeantigen in these two groups was low, 11,8% and 3,3%, respectively. The presence of HBeantigen in other two groups was lower, 26,7% in patients with chronic persistent hepatitis and 28,5% in patients with asymptomatic HBe antigenemia. AntiHBe antibodies were present in a higher percentage in patients with chronic persistent hepatitis (70%) than in asymptomatic HBeantigen carriers (57,1%). The presence of HBeantigens is not always sign of severe liver function disorder as well as the presence of anti HBe antibodies is not always sign of preserved liver function.

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