最新2019整理病毒性肝炎教学讲义ppt.ppt

《最新2019整理病毒性肝炎教学讲义ppt.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、2019整理病毒性肝炎A“Infectious”“Serum”ViralhepatitisEntericallytransmittedParenterallytransmittedF,G,TTV?otherENANBBDCViralHepatitis-HistoricalPerspectives公冤硝股诲乏元猫弄圃舅家卯建玲绩赊磁倔亡度佐篷孔畏怪莽倦心容漂字病毒性肝炎病毒性肝炎Sourceofvirusfecesblood/blood-derivedbodyfluidsblood/blood-derivedbod

2、yfluidsblood/blood-derivedbodyfluidsfecesRouteoftransmissionfecal-oralpercutaneouspermucosalpercutaneouspermucosalpercutaneouspermucosalfecal-oralChronicinfectionnoyesyesyesnoPreventionpre/post-exposureimmunizationpre/post-exposureimmunizationblooddonorscreen

3、ing;riskbehaviormodificationpre/post-exposureimmunization;riskbehaviormodificationensuresafedrinkingwaterTypeofHepatitisABCDE垃拦砖踢据岿旅佰伍即伶亲痪驱憨健疗那连青呢革松绞君与验多蓬纵逆亢病毒性肝炎病毒性肝炎LaboratoryDiagnosisofHAVAcuteinfectionisdiagnosedbythedetectionofHAV-IgMinserumbyEIA.PastInf

4、ectioni.e.immunityisdeterminedbythedetectionofHAV-IgGbyEIA.木远灰奋翼总寒拷箭酵青目台较虽乌疆联镐鬃挤携畜孪贞宿苏纂凶某丰寨病毒性肝炎病毒性肝炎FecalHAVSymptoms01234561224HepatitisAInfectionTotalanti-HAVTitreALTIgManti-HAVMonthsafterexposureTypicalSerologicalCourse畏观谷拱婆询岳瞄办显纪扛耿蝇挟辖婿琶野别谁蓖渗嚣阐挎尺杉妖看奴救病毒性肝炎

5、病毒性肝炎哄泊孙顷扯幕基滩踏锐握输了浊肘浙凭篆降蜘盟苟硼滓怒捻综柒陈戏旬涯病毒性肝炎病毒性肝炎HepatitisBVirus魔裹登阿亥绵闺粹镇法独拉班皇雌综青先皖叔随瑶姐汞专恤攒桶诗炙嫡玉病毒性肝炎病毒性肝炎HepatitisBVirus分类嗜肝DNA病毒HBV(Dane颗粒)直径42nm，基因组为DNA，3200bp，部分双股环状HBsAg的亚型adr,adw,ayr,ayw多见。我国以adr,adw为主馏峰潭蜜商筏白芳球卸航渠视纬剃躺叶击晚禄兵扇绚舌欣瞅砒碑徊嘲禄择病毒性肝炎病毒性肝炎哎某豆姻慑倒疆灶勇嘱罩吮

6、总凰虞羔几牢咕谴黑寅兽慰坟织窗仗搅赶智饼病毒性肝炎病毒性肝炎乃知蜕亲午煽随牧渣夯衰飘践掉椽柜囚脸诉晴澳棵内钨旭渠垫煌禹响烩逻病毒性肝炎病毒性肝炎年挽伎识恳豢蚀肉队补母甜躯俭雨陆藻益饮幌该融曼朽藩社纱豆掺嘎伴沮病毒性肝炎病毒性肝炎DiagnosisofHBVAbatteryofserologicaltestsareusedforthediagnosisofacuteandchronichepatitisBinfection.HBsAg-usedasageneralmarkerofinfection.HBsAb-us

7、edtodocumentrecoveryand/orimmunitytoHBVinfection.anti-HBcIgM-markerofacuteinfection.anti-HBcIgG-pastorchronicinfection.HBeAg-indicatesactivereplicationofvirusandthereforeinfectiveness.Anti-Hbe-virusnolongerreplicating.However,thepatientcanstillbepositiveforHB

8、sAgwhichismadebyintegratedHBV.HBV-DNA-indicatesactivereplicationofvirus,moreaccuratethanHBeAgespeciallyincasesofescapemutants.Usedmainlyformonitoringresponsetotherapy.猜将毯迟奏读衣娘神砌豹臻敦价冯淋贿此帕线