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題名 | Acute Viral Hepatitis in Alien Residents in Taiwan:A Hospital-based Study=臺灣外國僑民之急性肝炎:單一醫院之研究 |
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作者姓名(中文) | 楊賢馨; 賴永智; 吳啟華; 陳振寬; 李嘉龍; 陳定信; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 14:2 1997.06[民86.06] |
頁次 | 頁1-7 |
分類號 | 415.533 |
關鍵詞 | 急性肝炎; 臺灣; Viral hepatitis; Acute hepatitis; Taiwan; |
語文 | 英文(English) |
中文摘要 | 臺灣A及B型肝炎盛行率高,而外國僑民於臺灣罹患肝炎之情況仍不清楚。我們研究17位於1988至1995年間,因急性肝炎而住院之外國僑民。患者年齡由24至54歲,所有患者皆男性。其中16位為日本患者,3位為A型肝炎,12位為B型肝炎,1位為C型肝炎。1位屬於加拿大籍為A型肝炎。所有患者血清膽紅素皆小於10mg/dl.,都沒有肝功能失常或猛暴性肝炎,亦無其他併發症。1位日本患者失去追蹤,所有其他A及B型肝炎患者,皆於追蹤過程中產生A或B型肝炎抗體。C型肝炎患者經6個月之干擾素治療而恢復。沒有任何患者轉變為慢性肝炎。外國僑民感染B型肝炎之途徑尚待進一步研究。我們也發現至本院求診之外國僑民之急性肝炎數目逐年減少,可能是因為肝炎疫苗注射之故,我們建議缺乏抗體之外國人應注射肝炎疫苗。 |
英文摘要 | Taiwan is an area with a high prevalence of a viral hepatitis A and B. The prevalence of viral hepatitis among foreign residents from other countries with low prevalence of viral hepatitis who live in Taiwan remains uncertain, however. We restrospectively studies 17 foreign residents in Taiwan whohad been hospitalized for acute viral hepatitis between 1988 and 1995. The patients age ranged from 24 to 54 years old. All patients were males. Sixteen patients came from Japan and one from Canada. Of the 16 Japnanese patients, there had acute viral hepatitis A, 12 had acute viral hepatitis B, and one had acute hepatitis viral C. The one Canadian patient had acute viral hepatitis A. None of the patients developed decompensated liver function, fulminant or subfuliminant hepatic failure, or other complications. Maxiumum total serum bilirubin levels were all less than 10 mg/dl. One patient was lost to follow-up. All other patients with acute viral hepatitis A and B recovered and developed antibodies against hepatitis A virus and hepatitis B surface antigen during the folow-up. The patient with acute viral hepatitis C responded to a 6-month course of interferon therapy with a disappearance of the antibody to hepatitis C virus in 18 months. None of our patients developed chronic hepatitis. The route of infection with hepatitis B virus in foreign residents in Taiwan needs further study. Our data shows that the case number of foreigners with acute hepatitis has reduced in recent years in part due to the introduction of immunization. Vaccination for viral hepatitis A and B are recommended for foreign residents without protection antibodies who live in Taiwan. |
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