頁籤選單縮合
題 名 | 愛滋病的回顧、現況與前瞻=HIV/AIDS in Taiwan: Past, Present and Future |
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作 者 | 陳茂源; 洪健清; 莊哲彥; | 書刊名 | 內科學誌 |
卷 期 | 8:4 1997.12[民86.12] |
頁 次 | 頁173-178 |
分類號 | 415.944 |
關鍵詞 | HIV的演變; 過去的AIDS; 現在的AIDS; 未來的AIDS; Evolution of HIV; AIDS in the past; AIDS at present; AIDS in the future; |
語 文 | 中文(Chinese) |
中文摘要 | 愛滋病(AIDS)初發於1981年,愛滋病毒(HIV)於1993∼1994年間被發現。 HIV-2於1986年被分離。惟誰先發現HIV-1與到底HIV-2是否可引起AIDS,兩問題曾引 起美、法兩國間的爭執。1986年台灣首例末期的愛滋病患被發現,但因其抗體反應不典型, 而被美國CDC否認,逐引起台灣學者間的不滿,但HIV之培養成功為學界所稱頌;事後台 大醫院所發表之論文,也有一些瑕疵。在台灣1980年代主要感染途徑為血液製劑與同性戀 性行為;但1990代異性戀行為已超過同性戀者;而靜脈藥癮取代了血液製劑。1997年8月 底,台灣已有愛滋病患504例,現已以7種抗HIV藥在“雞尾酒治療”,效果卓然。HIV 將來對化學療法尚須改善,HIV RNA之定量必須簡化;惟HIV演變甚速且複雜,HIV疫苗 之問世尚遙遙無期。 |
英文摘要 | Acquired immunodeficiency syndrome (AIDS) arrived Taiwan in 1984 and the first Chinese patient was encountered in 1986. At the end of August 1997 the Department of Health (DOH) of Taiwan announced that there were 1,504 persons infected with human immunodeficiency virus(HIV), and 504 subsequently developed AIDS. During 1990s the increase of HIV/AIDS has been rapid and the risk factors diversified. In April 1997, 19 health institutes which have been affiliated with DOH started combined antiretroviral therapy for 642 patients with HIV/AIDS. Antiretroviral drugs available in Taiwan include:AZT, ddl, ddC, 3TC, Saquinvair, Indinavir and Ritonavir. Case selection was mainly based on the compliance rather than CD4+ or HIV RNA levels. Patients whose CD4+ counts were less than 10, who had wide spread opportunistic infection or who were moribund were generally excluded. The clinical efficacy of the combined therapy has been dramatic and the admission rate has been significantly decreased. Because of a good HIV/AIDS control system and a high education level combined with a conservative cultural tradition, the AIDS scourge which has occurred in other parts of southeast Asia is not likely to sweep Taiwan in future. |
本系統中英文摘要資訊取自各篇刊載內容。