本文报道了3例抗-HBs阳性的药瘾者,在HIV感染之前有过急性乙型肝炎并已完全恢复,而在患AIDS后,由于HBV的活化而出现了急性肝炎的临床表现。作者用Abbott药盒检测了患者血清HBV标志,并用固相分子杂交试验检测HBV DNA。结果发现:3例年龄分别为35岁、29岁和26岁的患者在发生AIDS之前ALT水平正常,HBsAg阴性,抗-HBs和抗-HBc阳性。 This article reports three anti-HBs-positive drug addicts who had had acute hepatitis B before HIV infection and had recovered completely, whereas after AIDS, the clinical manifestations of acute hepatitis emerged as a result of HBV activation. The authors used the Abbott kit to detect serum HBV markers and detected HBV DNA using solid-phase hybridization assays. The results showed that: ALT levels were normal, negative for HBsAg, positive for anti-HBs and anti-HBc in 3 patients aged 35 years, 29 years and 26 years before onset of AIDS.