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心胸手术对乙型肝炎表面抗原阳性患者肝功能影响分析
引用本文:张耀频,麦惠成.心胸手术对乙型肝炎表面抗原阳性患者肝功能影响分析[J].中国胸心血管外科临床杂志,1997,4(1):1-2.
作者姓名:张耀频  麦惠成
作者单位:中山医科大学附属第三医院心胸外科 传染科
摘    要:为探讨心胸手术对乙型肝炎表面抗原(HBsAg)阳性患者肝功能的影响,选择60例手术患者,其中HB-sAg阳性30例(病例组),HBsAg阴性30例(对照组),于手术前后分别测定肝功能指标进行对比分析。结果显示:HBsAg阳性患者谷丙转氨酶(GPT)术后高于术前(P<0.01);谷丙/谷草转氨酶比值(GOT/GPT)术后低于术前(P<0.05);其中大三阳(HBsAg、HBeAg和抗-HBcAg阳性)患者GPT术后高于术前(P<0.05)。结论:心胸手术对HB-sAg阳性患者肝功能有不同程度的损害作用,但并非手术绝对禁忌症。

关 键 词:乙型肝炎表面抗原  肝功能  心胸外科手术

Influence of Cardiac and Thoracic Operations on Liver Function of HBsAg Patients
Zhang Yaopin,Mai Huicheng,Zhou yuanping,et al..Influence of Cardiac and Thoracic Operations on Liver Function of HBsAg Patients[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,1997,4(1):1-2.
Authors:Zhang Yaopin  Mai Huicheng  Zhou yuanping  
Institution:Zhang Yaopin,Mai Huicheng,Zhou yuanping,et al. Department of Cardiac and Thoracic Surgery,3rd Affiliated Hospital,Sun Yat sen University of Medicine Science,Guangzhou 510630
Abstract:In order to investigate the influence of cardiac and thoracic operations on liver function of patients with HBsAg positive, the study included 30 patients with HBsAg positive(Male 16, Female 14), and 30 with HBsAg negative (Male 17, Female 13), the age of them varied from 5 to 68 years. Live function tests were determined before and after operations for comparison. The results showed that level of Glutamic Pyruvic Transaminase(GPT), Glutamic Oxaloacetic Transaminase (GOT) after operation were higher than those before operation ( P <0.05). The level of postoperative GPT in patients with HBsAg, HBeAg and Anti HBcAg positive was higher than the preoperative one ( P <0.05).These show that cardiac and thoracic operation may damage to liver function of HBsAg positive patients to a certain extent.
Keywords:HBsAg    Liver function    Cardiac  thoracic surgery  
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