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乙型肝炎。 [复制链接]

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发表于 2020-4-21 20:24 |只看该作者 |倒序浏览 |打印
Hepatitis B.
Authors
Tripathi N1, Mousa OY2.
Source

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020-.
2020 Mar 12.
Author information
Excerpt

Hepatitis B viral infection is a serious global healthcare problem. It is a potentially life-threatening liver infection caused by the hepatitis B virus (HBV). It is often transmitted via body fluids like blood, semen, and vaginal secretions. The majority (>95%) of immunocompetent adults infected with HBV can clear the infection spontaneously. Patients can present with acute symptomatic disease or have an asymptomatic infection that is identified during screening for HBV. The clinical manifestations of HBV infection vary in both acute and chronic diseases. During the acute infection, patients can have subclinical or anicteric hepatitis, icteric hepatitis, or less commonly fulminant hepatitis. In chronic infection, patients can have an asymptomatic carrier state, chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Initial symptoms are nonspecific and may include anorexia, nausea, vomiting, abdominal pain, and jaundice. In cases of severe liver damage, patients can develop jaundice, hepatic encephalopathy, ascites, gastrointestinal bleeding secondary to esophageal varices, coagulopathy, or infections. Diagnosis is based on serologic blood tests in patients with suspected signs and symptoms and associated risk factors for viral hepatitis. This will be discussed in more detail below.

Copyright © 2020, StatPearls Publishing LLC.
Sections

    Introduction
    Etiology
    Epidemiology
    Pathophysiology
    Histopathology
    History and Physical
    Evaluation
    Treatment / Management
    Differential Diagnosis
    Prognosis
    Complications
    Consultations
    Deterrence and Patient Education
    Pearls and Other Issues
    Enhancing Healthcare Team Outcomes
    Questions
    References

PMID:
    32310405

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发表于 2020-4-21 20:24 |只看该作者
乙型肝炎。
s
Tripathi N1,Mousa OY2。
资源

StatPearls [Internet]。金银岛(FL):StatPearls出版; 2020年-。
2020年3月12日
作者信息
摘抄

乙肝病毒感染是严重的全球医疗保健问题。它是由乙型肝炎病毒(HBV)引起的潜在威胁生命的肝脏感染。它通常通过血液,精液和阴道分泌物等体液传播。大部分(> 95%)具有免疫能力的成年人感染了HBV,可以自发清除感染。患者可出现急性症状性疾病或在筛查HBV时被确认为无症状感染。在急性和慢性疾病中,HBV感染的临床表现均不同。在急性感染期间,患者可能患有亚临床性或前肢性肝炎,黄疸型肝炎或较不常见的暴发性肝炎。在慢性感染中,患者可出现无症状的携带者状态,慢性肝炎,肝硬化和肝细胞癌。最初的症状是非特异性的,可能包括厌食,恶心,呕吐,腹痛和黄疸。在严重肝损害的情况下,患者可发展为黄疸,肝性脑病,腹水,食管静脉曲张继发的胃肠道出血,凝血病或感染。诊断基于对具有可疑体征和症状以及病毒性肝炎相关危险因素的患者进行的血清学检查。这将在下面更详细地讨论。

StatPearls Publishing LLC版权所有©2020。
栏目

    介绍
    病因学
    流行病学
    病理生理学
    组织病理学
    历史与物理
    评价
    治疗/管理
    鉴别诊断
    预后
    并发症
    咨询服务
    威慑与患者教育
    珍珠和其他问题
    增强医疗团队的成果
    问题
    参考文献

PMID:
    32310405

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发表于 2020-4-21 20:25 |只看该作者
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