病毒性肝炎教学教材.pptVIP

下载本文档

5
0
约1.37万字
约 92页
2018-02-13 发布于天津
举报
版权申诉

病毒性肝炎教学教材.ppt

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

实验室检查（一）肝功能检查血清酶的检测血清蛋白的检测血清和尿胆色素检测凝血酶原时间检测血氨浓度检测实验室检查（二）肝炎病毒标记物检测（三）肝组织学检查（四）影象学检查（五）血尿常规 Laboratory Diagnosis of HBV HBV antigen-antibody system. HBV-DNA - various techniques are available e.g. PCR and branched DNA. May be used to diagnose HBV infection in the acute phase. However, its main use is in monitoring the response to antiviral therapy. HBV DNA-P Laboratory Diagnosis of HCV HCV antibody - generally used to diagnose hepatitis C infection. Not useful in the acute phase as it takes at least 4 weeks after infection before antibody appears. HCV-RNA - various techniques are available e.g. PCR and branched DNA. May be used to diagnose HCV infection in the acute phase. However, its main use is in monitoring the response to antiviral therapy. HCV-antigen - an EIA for HCV antigen is available. It is used in the same capacity as HCV-RNA tests but is much easier to carry out. Viral hepatitis:Diagnosis 流行病学资料临床资料（症状，体征，实验室检查）病原学诊断病理学诊断 Viral hepatitis:Differential Diagnosis 其他原因引起的黄疸溶血性黄疸　肝外梗阻性黄疸其他原因引起的ALT肝炎其他病毒引起的肝炎感染中毒性肝炎药物引起的肝炎酒精性肝病血吸虫性肝病其他肝病 PBC，AIH，Wilson 病 Viral hepatitis：Prognosis Symptomatic Infection Chronic Infection Age at Infection Chronic Infection (%) Symptomatic Infection (%) Birth 1-6 months 7-12 months 1-4 years Older Children and Adults 0 20 40 60 80 100 100 80 60 40 20 0 Outcome of Hepatitis B Virus Infection by Age at Infection Chronic Infection (%) High (8%): 45% of global population lifetime risk of infection 60% early childhood infections common Intermediate (2%-7%): 43% of global population lifetime risk of infection 20%-60% infections occur in all age groups Low (2%): 12% of global population lifetime risk of infection 20% most infections occur in adult risk groups Global Patterns of Chronic HBV Infection High Moderate Low/Not Detectable blood semen urine serum vaginal fluid feces wound exudates saliva sweat tears breastmilk Concentration of Hepatitis B Virus in Various Body Fluids