中西医结合治疗肝硬变腹水15例

1996年1月～1998年4月收治肝硬变腹水病者采用中西医结合治疗者15例,取得满意疗效,总结如下。 1 资料与方法 1.1 临床资料 1.1.1 一般情况:按1995年全国传染病会议病毒     

近年国内恙虫病流行趋势及临床特点分析—附21例报告

自1948年广州首次分离出恙虫病立克次休证实我国有恙虫病以来，近年来国内疫区有增多的趋势[1]。为进一步帮助医务人员认识本病，提高诊疗水平，现将作者于第一军医大学第一附属医院进修期间收集的21例恙虫病做一临床分析，并结合文献讨论如下。临床资料一、一股资料本组病例均为散发，共21例，男18例、女3例，年龄4～53岁（平均32±6岁）。分布于广州、花县、九佛、从化等10个区县。4～10月为发病季节，其中5、6二月发病11例，占52．4％。农民14例、临时工（其中2例为花工）3例、干部2例、退休工人及儿童各1例。所有病例均有野外活动或草丛…     

中西医结合治疗肝炎并溶血性黄疸10例(摘要)

目的:探讨中西医结合治疗肝炎并溶血性黄疸的疗效。方法:采用中西医结合治疗肝炎并溶血性黄疸患者10例。中医治疗:以湿热为主者用茵陈五苓散加赤芍、丹参;以气血虚为主者用茵陈八珍汤加黄芪、大枣,两方均加用鸡骨草、田基黄、山楂、麦芽、神曲。每日1剂,30天为1疗程。西药治疗:甘利欣、肝安、能量合剂,静脉点滴;肝泰乐、肌苷、复合维生素B、血宝胶囊口服,发热黄疸深者予地塞米     

Investigation of sporadic hepatitis E in Guangzhou City

To identify the etiology of non-A,non-B,non-C hepatitis,23 such patients succes-sively admitted in our hospital during 1988～1992 were investigated using an enzyme immunoas-say kit with two recombinant hepatitis E virus(HEV)antigens from Genelabs(Redwood City,CA.USA).Anti-HEV-IgG was detected in 18 cases of them.The disease was diagnosed as hep-atitis E.All 18 patients were Guangzhou residents.This is one of the first reports on the pres-ence of sporadic hepatitis E in a metropolis beyond the endemic areas.The present observationshowed that sporadic hepatitis E occurred out of season and was unlike the epidemic form in Xin-jiang.Fifteen of 18 patients aged from 20 to 50 years,suggesting that it usually prevailed amongthe young-to-middle-aged adults.The ratio of male to female was 14 to 4.The ratio of icterictype to anicteric type was 16 to 2.The jaundice of 16 icteric patients disappeared in 24.6 days(range,14～60 days).The average alanine aminotransferase level was 806 IU/L(range,74～1676 IU/L),which declined to normal in 30.4 days(range,19～77 days).All patients recov-ered completely in 4.7 weeks.This report also indicated that the course of sporadic hepatitis E,as of epidemic form,is self-limiting and has no chronic sequelae.     

中西医结合治疗重度黄疸型肝炎25例

1995年1月～1998年4月收治重度黄疸肝炎25例,采用中西医结合治疗,消退黄疸疗效较好,总结如下。 1 临床资料 1.1 一般情况 按1995年第五次全国传染病会议制订的病毒性肝炎防治方案诊断标准,急性黄疸型肝炎13例,淤胆型肝炎3例,慢性重型肝炎5例,活动性肝硬变4例。男23例,女2例;年龄19～66岁。     

精制人白细胞α-干扰素治疗急性乙型肝炎34例疗效观察

精制人白细胞α－干扰素治疗急性乙型肝炎３４例疗效观察解放军２０１医院传染科（辽阳，１１１０００）张忠文谢晓江刘亚平黄炳全乔世忠１）干扰素作为乙型肝炎治疗的首选药物，多用于慢性活动型肝炎、慢性迁延型肝炎。我们采用精制人白细胞α－干扰素治疗急性乙型肝炎并...     

Clinico-pathological Features of Chronic Asymptomatic Hepatitis B Virus Infection in High Prevalence Area

From a population with high hapatitis B virus(HBV)infection,289liver biopsies were performed,including39cases of chronic asymptomatichepatitis(ASH),218 chronic asymptomatic carrier(AsC),10 transientcarriers and22cases after ending of carrier status.Among AsC,therewere 7.3% of chronic active hepatiti(CAH),22.0% of chronic persistenthepatitis(CPH),10.6% of chronic lobular hepatitis(CLH),48.2% of mi-nimal changes,and 11.9% of normal liver histology.The pathologicalchanges of AsH were more severe,that of transient carriers milder andsome after carrier status cases had still remained chronic hepatitis.Among257cases with chronic HBV infection there were 26(10.1%)asymptomaticCAH,and 61(23.7%)asymptomatic CPH,their importance in the compo-sition of HBV infections was emphasied.48.2% of AsC were the cases ofminimal changes,which might be a quite stable status of hypo-reactivity toprolonged HBV infection.From the above results,the clinico-pathologicalfeatures of HBV infection in high pravalence area might be:numerousasymptomatic infections and hypo-reactive type of infection status,but highfrequency of liver lesions,although most of them were mild.     

小柴胡汤治疗HBsAg携带者的临床观察

1986年6月至1987年3月在我附属医院传染科门诊和南湖卫生所对98例乙型肝炎病毒携带者用小柴胡汤治疗四个月,HBsAg近期转阴率为29％,对照组转阴率为11.9％,两者差异显著(P<0.05),初步认为小柴胡汤对促进HBsAg转阴,改善自觉症状及护肝抑酶等疗效较好,现报告如下。