新生兒腸病毒臨床處置建議 - CDC · 則可稱為新生兒腸病毒重症,如新生兒腸病毒敗血症、心肌炎、肝炎 合併凝血功能異常、腦炎等(表1)。根據台灣單一家醫學中心的統
第 24 章 肝炎病毒
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Transcript of 第 24 章 肝炎病毒
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24
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THE END
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(hepatitis A virus, HAV)RNA(Picornaviridae) RNA(Hepatovirus)
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() 20 RNA
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() () HAV.() 601h100oC 5 pH 3
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(hepatitis B virus, HBV)DNA(Hepadnaviridae)(Hepadnavirus)
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() () 1. 2. (1) HAV IgM HAV IgGHAV (2) 3. (1) (2) RT-PCR
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() HBV3 1.Dane HBsAgpre-S1pre-S2 20HBeAg DNA+DNA
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2.22nmHBVHBsAgHBsAg3.22nm100700nm
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S2SSSSPre-S1Pre-S2 CCCHBeAgHBcAgPDNAX154HBxAg() DNA2DNAHBV DNASCPXHBV
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() ; ;() HAV 70 100 10
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HBsAg
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() () 1. 2. 3.
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HBsAg: HBV a, d/y, w/r, adr -HBsHBcAg:Dane HBcIgGIgM eHBeAg: Dane HBe
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HBsAgHBeAg-HBs-HBe-HBc+----HBV++---++--++--++--+++--++-----+--+--
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(hepatitis C virus, HCV)(Flavivirdae)20~
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() 4060nm RNA()
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() HCV; HCV () HCV
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HBV 4-8HCV HCV50%HCV
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() () 1. 2. 1 HCVELISA 2 (strip immunoassay, SIA)(recombinant immunoblot assay, RIBA) 3. (1) RT-PCR (2) bDNA
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(hepatitis D virus, HDV)(Arenaviridae) (Deltavirus)HBVDNA ()HBsAgHDVHBsAg35-37nmRNA
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() 1.7Kb-ssRNA 9ORF() HDVHBV ()
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HBsAg1.6%-5%HBsAgHBVHDV 1. (coinfection) HBV 2. (superinfection) HBVHDVHDV
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() () 1. 2. 1HDV 2HDV IgM ELISA 3 HDV 3. RT-PCR
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(hepatitis E virus, HEV)(Caliciviridae)(Calicivirus) () 3234nm RNA
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() 7.5kb5-NCR-NS-S-NCR-Poly(A)- 33ORF () () HEV
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2
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() () 1. 2. ELISAHEV 3. RT-PCRHEV RNA
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(hepatitis G virus, HGV) RNA9.5kbORFHBVHCV HGVRT-PCRELISA
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(transfusion transmitted virus, TTV)DNA DNA3050nm 3.8kb2ORF TTVTTV TTV TV TTVPCRTTV DNA