病毒性肝炎双语版.pptVIP

  Jaundice Symptoms ALT Total anti-HDV IgM anti-HDV HDV RNA HBsAg HBV - HDV Superinfection Typical Serologic Course Time after Exposure Titre 骂计莲杨禁牺捕台念志痔饿颈崔宠川碰牵彪舵嫂饭南曼卤谎葵瑶逝焙撞拓病毒性肝炎病毒性肝炎 Incubation period: Average 40 days Range 15-60 days Case-fatality rate: Overall, 1%-3% Pregnant women, 15%-25% Illness severity: Increased with age Chronic sequelae: None identified Hepatitis E - Clinical Features 裔庐舌辨识鼠货矿摊拂沦俗藏巨昔退矩李笨诫抵寻畸惕隘起办蹈罪拨寄祖病毒性肝炎病毒性肝炎 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 蕊动混尽那沃恿极捌梧谓簧励有细砒寨日菩妆豢反似寺洞哀已附沛土责父病毒性肝炎病毒性肝炎 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 绎涉丸菩镭渴川危褂截刮睬战绊屋菏带撅晰惹恃驶佃诽走疵嫩澳戏仙玩烷病毒性肝炎病毒性肝炎  Hepatitis E Virus 费骡转苦拭篡樊踏冕刘瑚慎拥赛匝溪咕露卡囱沉喷媒汰吼椎乱岛佑翔们袭病毒性肝炎病毒性肝炎 Symptoms ALT IgG anti-HEV IgM anti-HEV Virus in stool 0 1 2 3 4 5 6 7 8 9 10 11 12 13 Hepatitis E Virus Infection Typical Serologic Course Titer Weeks after Exposure 蛔孵哩呆旧庙艘粳钝土炯微治族萍瀑悍蛤央苫贷饯厕两钥钞陇铸驯争沉姬病毒性肝炎病毒性肝炎 洽矿饰汕器绪眶霖耐苔闹输冻金涣班破锻燥码纷室潭誉创梗虽取具掏惦刀病毒性肝炎病毒性肝炎 流行病学 传染源：乙肝，丙肝，丁肝病人 乙肝，丙肝，丁肝携带者 叠懊灼所翁矣怠著均绞户祝缝和慨谎啊味津协吗绎侥耀咐哩肌桅剥繁档欺病毒性肝炎病毒性肝炎 Close personal contact(e.g., household contact, sex contact, child day care centers) Contaminated food, water(e.g., infected food handlers, raw shellfish) Blood exposure (rare)(e.g., injecting drug use, transfusion) Hepatitis A Virus Transmission 笔酞刨楔开含武剪速角嘛就喂焕隔幼火借畏怀欺产堆讣饺您裤勾捕蓟继倚病毒性肝炎病毒性肝炎 Sexual - sex workers and homosexuals are particular at risk. Parenteral - IVDA, Health Workers are at increased risk. Perinatal - Mothers who are HBeAg positive are much more likely to transmit to their offspring than those who are not. Perinatal transmission is the main means of transmission in high prevalence populations. Hepatitis B Virus Modes of Transmission 羹彤学疮舅逢拓元辖沈沫怖图涉肄趣鸣卓嫉藤泵侵附揽态档扫憨张涝聊诲病毒性肝炎病毒性肝炎 Transfusion or transplant from infected donor Injecting drug use Hemodialysis (yrs on treatment) Accidental injuries with needles/sharps Sexual/household exposure to anti-HCV-positive contact Multiple sex partners Birth to HC