儿童慢性乙型肝炎的筛查、监测和转诊指南.PDFVIP

论 著 儿童慢性乙型肝炎的筛查、监测和转诊指南 a b c Barbara A. Haber, MD , Joan M. Block, RN, BSN , Maureen M. Jonas, MD , Saul J. Karpen, MD, PhDd e f g , W. Thomas London, MD , Brian J. McMahon, MD , Karen F. Murray, MD , Michael R. h i j Narkewicz, MD , Philip Rosenthal, MD and Kathleen B. Schwarz, MD a Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Children’ s Hospital of Philadelphia, Philadelphia, Pennsylvania; b Hepatitis B Foundation, Doylestown, Pennsylvania; c Division of Gastroenterology, Children’ s Hospital Boston, Boston, Massachusetts; d Department of Pediatrics/Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine, Houston, Texas; e Fox Chase Cancer Center, Philadelphia, Pennsylvania; f Liver Disease and Hepatitis Program, Alaska Native Medical Center, Alaska Native Tribal Health Consortium, Anchorage, Alaska; g Division of Gastroenterology, Hepatology, and Nutrition, Seattle Children’ s and University of Washington School of Medicine, Seattle, Washington; hDepartment of Pediatrics, Section of Pediatric Gastroenterology, Hepatology, and Nutrition and Pediatric Liver Center, University of Colorado Denver School of Medicine and Children’ s Hospital, Aurora, Colorado; iPediatric Hepatology, Univer- sity of California, San Francisco, California; j Pediatric Liver Center, Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland 摘 要 大多数慢性乙型肝炎病毒感染(乙型肝炎表面抗原阳 性持续＞6 mo) 儿童无症状，无需进行治疗。然而，这 关键词 些儿童日后发生严重并发症的风险增加，包括后期肝病 乙型肝炎(hepatitis