病毒性肝炎伴随G-6-PD缺乏率原因探讨

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本院1992.1~1996.12儿童肝炎住院病例232例,均作出病原学诊断。G-6-PD检测用酶活性测定法,按陈顺存介绍的方法进行。≤1.2Iu/gHb为显著缺乏,1.3~3.2In/gHb为中间值,3.3~7.0IIJ/gHb为正常。232例肝炎患者,83例G-6-PD缺乏,G-6-PD缺乏率35.77%,男性缺乏率44.12%(75/170),女性缺乏率12.90%(8/62).83例缺乏者中显缺67例,中间值16例,接受两次或两次以上检测者74例,占缺乏总数之89.16%(74/83)。本组对54例肝炎伴G-6-PD缺乏者作了家系调查,85.19%(46/54)符合伴性不显性遗传规律,结论:1.肝炎患者伴随G-6-PD缺乏率高,本组为35.77%。2.肝炎患者伴随G-6-PD缺乏绝大部分是原发性的,理由:G-6-PD缺乏病例中74例检测两次以上,占缺乏病例的89.16%(74/83),检测可靠性大,前后检查基本一致;49例在出院后6月~5年作了随诊,随诊的活性值与住院检查一致;本组89.16%(74/83)符合伴性不显性遗传规律。 Our hospital 1992.1 ~ 1996.12 232 cases of pediatric hepatitis inpatients, are made etiological diagnosis. G-6-PD test with enzyme activity assay, according to the method described by Chen Shun deposit. ≤1.2Iu / gHb is significantly lacking, 1.3 ~ 3.2In / gHb is the middle value, 3.3 ~ 7.0IIJ / gHb is normal. Of the 232 patients with hepatitis, 83 were deficient in G-6-PD. The rate of G-6-PD deficiency was 35.77%, and the rate of males was 44.12% (75/170). The rate of females was 12.90% (8/62). There were 67 cases with deficiency in 83 cases, median 16 cases, 74 cases with two or more tests, accounting for 89.16% (74/83) of the total lack. This group of 54 cases of hepatitis with G-6-PD deficiency were made in a pedigree, 85.19% (46/54) consistent with heritable inheritance, Conclusion: 1. Hepatitis patients with G-6-PD lack of high rate of 35.77% in this group. 2. The majority of hepatitis patients with G-6-PD deficiency are primary due to the fact that 74 of the G-6-PD deficient cases were detected more than twice, accounting for 89.16% (74/83) of the total lack cases, Reliability, and consistent before and after examination; 49 cases were followed up from June to 5 years after discharge, and the follow-up activity was consistent with hospitalization; 89.16% (74/83) in this group were consistent with no significant Sexual genetic law.
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