医学检验与临床2024,Vol.35Issue(6) :33-36.DOI:10.3969/j.issn.1673-5013.2024.06.008

某三级医院EB病毒感染的临床数据分析

Analysis of clinical data of Epstein-Barr virus infection in A Third-class Hospital

刘艳 李东风
医学检验与临床2024,Vol.35Issue(6) :33-36.DOI:10.3969/j.issn.1673-5013.2024.06.008

某三级医院EB病毒感染的临床数据分析

Analysis of clinical data of Epstein-Barr virus infection in A Third-class Hospital

刘艳 1李东风1
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作者信息

  • 1. 巨野县人民医院检验科,山东菏泽 274900
  • 折叠

摘要

目的:探讨某三级医院EB病毒(EBV)感染的相关疾病分析.方法:利用回顾性方法选取了 2021年11月-2023年2月某三甲医院503例EBV-DNA阳性病例,分析了各种疾病的比例以及血液病造血干细胞移植前后比例.结果:503例EBV-DNA阳性病例中,鼻咽癌患者145例占总比例的28.83%,淋巴瘤患者69例占总比例的13.72%,血液系统恶性疾病患者156例占总比例的31.01%,传染性单核细胞增多症患者12例占总比例的2.39%,肾移植患者37例占总比例的7.36%,自身免疫系统疾病患者21例占总比例的4.17%,其他疾病患者63例占总比例的12.52%.血液系统恶性疾病患者包括急性非淋巴细胞白血病占36.54%,急性淋巴细胞白血病占13.46%,地中海贫血占28.21%,再生障碍性贫血占12.18%,骨髓异常综合征占5.77%及其他一些血液疾病占3.85%.156例血液系统疾病中有140例进行了造血干细胞移植,其中EBV-DNA移植前阴性移植后阳性的有86例,移植前阳性移植后阴性的有18例,移植前阳性移植后阳性的有36例.结论:血液系统恶性疾病在EBV-DNA阳性病例中占有最高的比例,且移植后的感染率高于移植前.鼻咽癌和淋巴瘤占EBV-DNA阳性的第二、三位,说明两种疾病的发生与EBV有极大的相关性.

Abstract

Objective:To explore the analysis of related diseases of EB virus infection in A Third-class Hospital.Methods:A retrospective method was used to select 503 EBV-DNA positive cases in A Third-class Hospital from November 2021 to February 2023,and analyze the proportion of various diseases and the proportion of hematopoietic stem cells before and after hematopoietic stem cell transplantation.Results:Among the 503 EBV-DNA positive cases,include 145 patients with nasopharyngeal carcinoma accounted for 28.83%of the total,69 patients with lymphoma accounted for 13.72%of the total,and 156 patients with hematological malignancies accounted for 31.01%of the total,12 patients with Infectious mononucleosis accounted for 2.39%of the total,37 patients with kidney transplantation accounted for 7.36%of the total,21 patients with autoimmune system diseases accounted for 4.17%of the total,and 63 patients with other diseases accounted for the total 12.52%.Patients with hematological malignancies include acute non-lymphocytic leukemia accounting for 36.54%,acute lymphocytic leukemia accounting for13.46%,thalassemia accounting for 28.21%,aplastic anemia accounting for 12.18%,myelodysplastic syndrome accounting for 5.77%,and other blood diseases accounting for 3.85%.Among 156 cases of hematological diseases,140 cases underwent hematopoietic stem cell transplantation.Among them,86 cases were negative before EBV-DNA transplantation and positive after transplantation,18 cases were positive before transplantation and negative after transplantation,36 cases were positive after transplantation and before transplantation.Conclusion:Hematological malignancies account for the highest proportion of EBV-DNA positive cases,and the infection rate after transplantation is higher than before transplantation.Nasopharyngeal carcinoma and lymphoma accounted for the second and third EBV-DNA positives,indicating that the occurrence of the two diseases has a great correlation with EBV.

关键词

EBV/鼻咽癌/淋巴瘤/血液系统疾病

Key words

EBV/Nasopharyngeal carcinoma/Lymphoma/Hematological diseases

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出版年

2024
医学检验与临床
山东省千佛山医院

医学检验与临床

影响因子:0.294
ISSN:1673-5013
参考文献量7
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