185例HCV感染的临床分析

对１８５例ＨＣＶ感染与输血的关系进行了追踪观察，ＨＣＶ感染占病毒性肝炎总住院人数的１６．４６％。１８５例ＨＣＶ感染患者有输血或血制品史者占７２．３０％。ＨＣＶ／ＨＢＶ重叠感染后ＨＩｌＶＭ阴转或滴度下降４６．２４％。单纯ＨＣＶ感染以无症状携带及慢性迁延性肝炎多见，部分表现为急性丙型肝炎，其肝细胞受损较轻，预后尚好。而ＨＣＶ／ＨＢＶ重叠感染肝功损害较重，病程迁延不愈，病情发展迅速，恶化率高，预后甚差。

A Clinaical Analysis in 185 Cases with HCV Infection

A retrospective survey of relation-ship between NCV infection and blood infusion was con- ducted in 185 cases. The HCV infection rate was 16.46 % in all patients with virus hepatitis.OF the 185 cases with NCV infection; 72.30% had ahistory of in- fusion. of blood or blood preducts.The HBVM returned to the negative or falled in 46.24 % cases with HCVand HBV infections.In the individuals with simpleHCV infection the major part were carriers or chronicpersistent hepatitis,and the others presented with acutehepatites C,in whom there was a light damage to hepat-ic cells and a better prognosiys.However there was a se-rious damage to hepatic cells and a better prognosysHowever there was a serious damage to hepatil func-tion,a continuous course, rapid advance,high malignantrate and less prognosis in cases with HCV and HBC in-fections.