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HBsAg 阳性肝炎病人的HBsAg 能否阴转与预后关系密切。急性肝炎病人HBsAg 持续存在超过6个月者有转为慢性肝炎的可能,HBsAg 持续阳性的慢性活动性肝炎(CAH)、平均3.6年期间约有15%发展为肝细胞癌,乙型肝炎病毒感染后10～16年可能演变为肝细胞癌。为了解影响HBsAg 阴转的临床、生化及免疫学因素,对近5年住院的234例HBsAg 阳性肝炎病人进行分析如下。一、一般资料:肝炎诊断和分型按1978年全国肝炎学术会议制订标准,部分病例经肝活检证实。计急性黄疸型肝炎(AIH)48例,急性无黄疸型肝炎(AAH)49例,慢性迁延型肝炎(CPH)及慢性活动型肝炎
HBsAg-positive hepatitis patients HBsAg can be negatively correlated with the prognosis. Acute hepatitis patients with persistent HBsAg for more than 6 months may be converted to chronic hepatitis, HBsAg persistent positive chronic active hepatitis (CAH), an average of 3.6 years, about 15% of the development of hepatocellular carcinoma, hepatitis B virus infection After 10 to 16 years may evolve into hepatocellular carcinoma. In order to understand the clinical, biochemical and immunological factors that influence the negative conversion of HBsAg, 234 HBsAg positive hepatitis patients hospitalized in the recent 5 years were analyzed as follows. First, the general information: Diagnosis and typing of hepatitis according to the 1978 National Conference on the development of hepatitis standard, in some cases confirmed by liver biopsy. 48 cases of acute jaundice hepatitis (AIH), 49 cases of acute non-icteric hepatitis (AAH), chronic persistent hepatitis (CPH) and chronic active hepatitis