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題 名 | 急性B型肝炎的治療探討=The Role of Antiviral Treatment in Acute Hepatitis B |
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作 者 | 鄭仰志; 方聖惟; 張甄; 謝清睿; 羅鴻源; 劉正典; 潘憲; 張君照; | 書刊名 | 內科學誌 |
卷 期 | 22:2 2011.04[民100.04] |
頁 次 | 頁99-105 |
分類號 | 415.5332 |
關鍵詞 | 急性B型肝炎; 抗病毒治療; 干安能; Acute hepatitis B; Antiviral treatment; Lamivudine; |
語 文 | 中文(Chinese) |
中文摘要 | 急性B 型肝炎在國內推動新生兒全面B 型肝炎預防注射後,已逐漸減少,但臨床診療病 患中,仍然有機會遇到急性B 型肝炎的患者,可能的原因包含未施打疫苗者,對現行疫苗反 應低下的人未有保護效果,另外經免疫或抗病毒藥物篩選下產生的突變株,可跳脫經疫苗產 生抗體的結合。急性B 型肝炎的治療研究,相對稀少,雖然大多數患者會痊癒,但仍然有個 案產生肝衰竭,面對明顯的肝指數上升,甚至黃疸產生,與病患的不安,投予抗病毒藥物是 否恰當? 臨床可見有個案依慢性B 型肝炎代償不良原則,接受抗病毒藥物治療。藉由文獻回 顧,在此篇文章中探討抗病毒藥物的使用角色,非嚴重型患者使用抗病毒藥物治療,預後並 無差異,但可能會減少B 型肝炎表面抗體的產生。但是在嚴重的急性B 型肝炎,病患面臨肝 衰竭、高死亡率,此時給予抗病毒藥物治療,有機會減少死亡和移植率。 |
英文摘要 | Acute hepatitis B was decreasing after the policy of global hepatitis B virus (HBV) vaccination in Taiwan. However, sporadic cases of acute hepatitis B were still encountered in our daily practice. Non-vaccination, non-response or poor response to current hepatitis B vaccine may be the cause. In addition, immune-selected or antiviral selected mutant strain may also cause new HBV infection in post-vaccination era. Studies for acute hepatitis B are not as much as for chronic hepatitis B. What is the role of antiviral agent in treating acute hepatitis B? Articles involved antiviral treatments for acute hepatitis B were reviewed. These studies showed antiviral agent may be beneficial in severe acute hepatitis B. But antiviral agent may play no role for non-severe form because it may interfere normal immune reaction and also impair anti-HBs formation. |
本系統中英文摘要資訊取自各篇刊載內容。