血液科住院患者慢性乙型肝炎感染状况研究

发布时间：2018-03-21 08:48

本文选题：慢性乙型肝炎　切入点：住院患者　出处：《中华医院感染学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探究血液科住院患者被病毒感染而导致慢性乙型肝炎的情况,提高住院患者慢性乙型肝炎病毒感染的认知。方法选择2012年3月-2016年5月于医院血液科治疗123例患者,将其分为住院慢性乙型肝炎组84例,肝硬化组21例和并发肝癌组18例,比较分析其临床资料。结果住院慢性乙型肝炎组84例患者中,40~49岁患者有26例占31.0%,以男性患者为主,69例占82.1%;住院慢性乙型肝炎组患者病程3年54例占64.3%,肝硬化组患者病程为5~10年12例占57.1%,并发肝癌组患者病程10年以上10例占55.6%;住院慢性乙型肝炎组患者血小板含量以150×10~9/L以上为主,有37例占44.1%,肝硬化组患者以50~100×10~9/L为主,有14例占66.7%,并发肝癌组患者以100~150×10~9/L为主,有7例占38.9%;慢性乙型肝炎主要临床表现为乏力57例(67.9%)及纳差症状41例(48.8%);非血液科患者216例中HBsAg阳性患者23例,阳性率10.6%,37例再障患者中HBsAg阳性10例,阳性率27.0%。结论血液科住院慢性乙型肝炎患者发病年龄多在40~59岁之间,血小板含量大多在100×10~9/L以上,再障血液病患者HBsAg阳性率最大,骨髓瘤血液病患者HBsAg阳性率最低。
[Abstract]:Objective to investigate the situation of chronic hepatitis B caused by virus infection in hospitalized patients in hematology department, and to improve the cognition of chronic hepatitis B. methods 123 patients were treated in hematology department from March 2012 to May 2016. The patients were divided into four groups: 84 patients with chronic hepatitis B, 21 patients with liver cirrhosis and 18 patients with liver cancer. Results among 84 patients with chronic hepatitis B, 26 (31.0%) were 40 49 years old, 69 cases (82.1%) were male patients, 54 cases (64.3%) were in chronic hepatitis B group and 54 cases (64.3%) were in liver cirrhosis group. The course of disease ranged from 5 to 10 years in 12 cases (57.1%), and in the patients with liver cancer over 10 years (10 cases) 55.6.The platelet content in hospitalized patients with chronic hepatitis B was more than 150 脳 10 ~ (9 / L). There were 37 cases (44.1%), liver cirrhosis group (50 ~ 100 脳 10 ~ (9) / L), 14 cases (66.7%), and complicated liver cancer group (100 ~ 150 脳 10 ~ (9 / L)). The main clinical manifestations of chronic hepatitis B were fatigue (57 cases, 67.9%) and anorexia (41 cases, 48.8%), and the positive rate of HBsAg in 23 cases (10.6%) of 37 patients with aplastic anemia, the positive rate of HBsAg was 10 cases. Conclusion the incidence age of chronic hepatitis B patients in hematology department is 40 ~ 59 years old, the platelet content is more than 100 脳 10 ~ (9) / L, the positive rate of HBsAg is the highest in patients with aplastic hematopathy, and the HBsAg positive rate is the lowest in patients with myeloma hemopathy.
【作者单位】：慈溪市人民医院血液内科综合内科;湖州市妇幼保健医院消化内科;
【分类号】：R512.62

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