16.1生殖器单纯性疱的疹.ppt

生殖器疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. HSV感染一般情况 生殖器HSV-2感染率在全世界范围内呈上升趋势 通过接触粘膜表面或皮肤裂口引起生殖器感染 HSV引起的感染是一种终身疾病 HSV-2感染中有80％没有被确诊单纯疱疹 其中20％没有症状，60％因症状不典型 无症状排毒是HSV传播的重要传染源 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 单疱感染的危害 对患者自身危害： 病毒反复发作，降低生活质量 心理负疚感，社会歧视 对伴侣的危害： 可能使性伴侣被感染 对胎儿和新生儿危害： 孕妇感染可能导致胎儿早产、流产、畸形、死亡 发生原发感染的孕妇，新生儿有20～50％的机会被感染 发生复发感染的孕妇，新生儿有3～5％的机会被感染 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病因 HSV1或HSV2 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. HSV传播途径 直接密切接触 性接触 垂直传播 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 单疱感染的临床症状 原发性单纯疱疹 复发性单纯疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 单纯疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 生殖器疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 生殖器疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 生殖器疱疹 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 实验室检查-PCR 样本：患处分泌物、脑脊液、羊水、婴儿血清 可取样时间：病毒发作期。 敏感度99％。 特异性：不同实验室差异大 诊断所需时间：60 ～90分钟以内 特点： 诊断快速、敏感 但技术要求高， 诊断费用昂贵 容易出现假阳性 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 实验室检查-血清学检查 IgM IgG Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 实验室检查-病毒分离培养 诊断金标准 适用于发作期患者 特异性高，总体敏感度不高 诊断时间长，技术要求高 Evaluation only. Created with Asp