传染病护理学重点(key points of infectious disease nursing)

传染病护理学重点(key points of infectious disease nursing)

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时间:2018-07-20

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1、传染病护理学重点(Keypointsofinfectiousdiseasenursing)2.pathogenicityofpathogensduringinfection:(1)invasiveness:theabilityofpathogenstoinvadethebodyandspreadinvivo.Suchas:invasiveability,solubletissuecapacity,penetrationandsoon.(2):includingvirulenceexotoxin,endotoxinandvirulencefactors.(3)numbe

2、r:thesamepathogen,thenumberofinvasionisoftenproportionaltoitspathogenicability;indifferentinfectiousdiseases,thenumberofpathogenscausingacertaininfectiousdiseasevariesgreatly.(4)variationImmuneresponseduring3.infection:nonspecificimmunityandspecificimmunity(1)nonspecificimmunity:themech

3、anismofthebody'seliminationofforeignbodyintothebody.Itisobtainedbyhereditywithoutantigenspecificity,alsoknownasinnateimmunity.Threemainnaturalbarriersskin,blood,cerebrospinalfluid,placenta;phagocytosis;humoralfactors.Phagocytosis:mononuclearphagocytesystemhasnonspecificphagocyticfunctio

4、n.Humoralfactors,includingfluidinfusion,lysozymeandvariouscytokines,suchasinterleukin,tumornecrosisfactor,interferongamma,etc..(2)specificimmunity:thespecificimmuneresponseproducedbytheantirecognitionoftheantigenisanacquiredactiveimmunity.ItincludeshumoralimmunitymediatedbyBlymphocytesa

5、ndcell-mediatedimmunitymediatedbyTlymphocytes.7.therouteoftransmissionofviralhepatitis(1)fecaloraltransmission:themainrouteoftransmissionofhepatitisAande;(2)thespreadofbloodandbodyfluids:mainlyspreadhepatitisB,hepatitisC,dway(3)mothertochildtransmission:mainlythroughtheplacenta,birthcan

6、aldelivery,breast-feedingandfeedingandothermeansoftransmission,isalsoanimportantrouteoftransmissionofHBVinfection.8..Detectionofhepatitisvirusetiology(markers)ThehepatitisA:Anti-HAV-IgGserum:recentinfectionindex,isamarkerfordiagnosisofhepatitisAinthemain.SerumantiHAV-IgG:protectiveantib

7、odiesareseeninpatientswhohavebeenvaccinatedwithhepatitisAorthosewhohavepreviouslybeeninfectedwithHAV.HAVRNAThehepatitisb:Surfaceantigen(HBsAg)andsurfaceantibody(anti-HBs):HBsAgpositiveinHBVinfectedpatients,HBVinfection3weeksafterthefirstoccurrenceofHBsAg.Anti-HBspositivityismai

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