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急性戊型肝炎患者血清病毒抗原检测的临床意义
引用本文:郝娃,赵晨燕,李卓,严艳,牛京勤,殷继明,王佑春. 急性戊型肝炎患者血清病毒抗原检测的临床意义[J]. 中国误诊学杂志, 2009, 9(18): 4285-4286
作者姓名:郝娃  赵晨燕  李卓  严艳  牛京勤  殷继明  王佑春
作者单位:1. 首都医科大学附属北京佑安医院,北京市卫生局肝炎研究所,100069
2. 中国药品生物制品检定所细胞室,100050
基金项目:国家高技术研究发展计划(863计划) 
摘    要:目的:探讨戊型肝炎抗原诊断试剂在临床诊断戊型肝炎病毒感染中的作用。方法:应用酶联免疫吸附试验方法检测戊型肝炎病毒抗原(HEV-Ag)试剂,对387例急性戊型肝炎患者血清标本进行检测,同时进行HEV RNA、抗HEV-IgM、抗HEV-IgG检测。结果:387例急性戊型肝炎患者血清HEV-Ag 140例(36.18%)阳性;单纯抗HEV-IgM阳性组的HEV-Ag阳性率最高;12例患者早期血清HEV-Ag阳性,随访过程中抗HEV-IgM与抗HEV-IgG阳转。结论:通过HEV-Ag检测,可以提高戊型肝炎病毒感染的诊断水平。

关 键 词:肝炎,戊型/诊断  肝炎病毒,戊型/免疫学  肝炎抗原/分析  急性病  人类

Detection of HEV Antigen in Patients with Acute Hepatitis E Infection
Affiliation:HAO Wa,ZHAO Chen-yan,LI Zhuo,et al. (Institute of Hepatitis, Beijing Municipal Health Bureau, Beijing 100069, China)
Abstract:Objective:To discuss the clinical significance with using the diagnostic reagent of HEV-Ag. Methods: Three hundred and eighty seven sera from the patients with acute hepatitis E were detected by enzyme immunoassay (ELISA) for HEV-Ag,anti-HEV IgM and IgG and real time fluorescent RT-PCR for HEVRNA. Results:The serum samples from 140(36. 18;)of 387 patients were positive for HEV-Ag. Sera of anti-HEV lgM positive alone were the highest positive rate of HEV-Ag. 12 patients were positive for HEV-Ag and HEV-RNA in the early time of infection. Conclusion:Detection of HEV-Ag can raise the early diagnosis of HEV.
Keywords:Hepatitis E/diagnosis ; Hepatitis E virus/immunology; Hepatitis Antigens/analysis ; Acute Disease ; Humans
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