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评估乙肝表面抗原阳性患者的实用指南。

Practical guidelines for assessing patients positive for hepatitis B surface antigen.

作者信息

Feinman S V, Berris B, Sinclair J C, Wrobel D W

出版信息

Can Med Assoc J. 1976 Nov 20;115(10):991-4.

PMID:1032589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1878866/
Abstract

In assessing the patient the hepatitis B surface antigen (HBsAg) the physician must decide on the basis of physical findings, results of laboratory tests and biopsy, when indicated, whether the patient is an asymptomatic carrier or has acute or chronic hepatitis. Asymptomatic carriers of HBsAg must be educated in personal hygiene and the possibility of transmission, should not be allowed to donate blood or breast-feed and should not work with blood products for human use or pharmaceutical products designated for intravenous use. However, it is otherwise not necessary to advise these individuals to change their profession.

摘要

在评估患者的乙肝表面抗原(HBsAg)时,医生必须根据体格检查结果、实验室检查结果以及必要时的活检结果,来判断患者是无症状携带者、患有急性肝炎还是慢性肝炎。必须对HBsAg无症状携带者进行个人卫生及传播可能性方面的教育,他们不得献血或哺乳,不得从事与人类用血制品或指定用于静脉注射的药品相关的工作。然而,除此之外,无需建议这些人更换职业。

相似文献

1
Practical guidelines for assessing patients positive for hepatitis B surface antigen.评估乙肝表面抗原阳性患者的实用指南。
Can Med Assoc J. 1976 Nov 20;115(10):991-4.
2
Fatal hepatitis B in early infancy: the importance of identifying HBsAg-positive pregnant women and providing immunoprophylaxis to their newborns.婴儿早期的致命性乙型肝炎:识别乙肝表面抗原阳性孕妇并为其新生儿提供免疫预防的重要性。
Pediatrics. 1983 Aug;72(2):176-80.
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Passive immunoprophylaxis of hepatitis B virus infections in newborn infants.新生儿乙型肝炎病毒感染的被动免疫预防
N Z Med J. 1985 Oct 9;98(788):851-3.
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The need and value of routine screening of all pregnant women for hepatitis B surface antigen.对所有孕妇进行乙肝表面抗原常规筛查的必要性和价值。
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Immunoregulation of the in vitro anti-HBs antibody synthesis in chronic HBsAg carriers and in recently boosted anti-hepatitis B vaccine recipients.慢性HBsAg携带者及近期加强接种乙肝疫苗者体外抗-HBs抗体合成的免疫调节
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Feasibility of routine testing for hepatitis B surface antigen in hospital employees and restriction of carriers.医院员工乙肝表面抗原常规检测的可行性及携带者限制
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[Routine screening for serological markers of viral hepatitis B in pregnancy].[孕期乙肝病毒血清学标志物的常规筛查]
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Humoral and cellular immune responses to hepatitis B vaccination in hepatitis B surface antigen-carrier children who cleared serum-hepatitis B surface antigen.乙肝表面抗原携带者儿童血清乙肝表面抗原清除后对乙肝疫苗的体液免疫和细胞免疫反应
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Anti-hepatitis B core immunoglobulin M in the serologic evaluation of hepatitis B virus infection and simultaneous infection with type B, delta agent, and non-A, non-B viruses.抗乙型肝炎核心免疫球蛋白M在乙型肝炎病毒感染以及与丁型肝炎病毒、非甲非乙型肝炎病毒同时感染的血清学评估中的应用
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引用本文的文献

1
The HBsAg-Positive Patient: Implications and a Guide to Management.HBsAg 阳性患者:影响与管理指南。
Can Fam Physician. 1979 Mar;25:317-9.

本文引用的文献

1
A "NEW" ANTIGEN IN LEUKEMIA SERA.白血病血清中的一种“新”抗原。
JAMA. 1965 Feb 15;191:541-6. doi: 10.1001/jama.1965.03080070025007.
2
Incidence and meaning of persistence of Australia antigen in patients with acute viral hepatitis: development of chronic hepatitis.急性病毒性肝炎患者中澳大利亚抗原持续存在的发生率及意义:慢性肝炎的发展
N Engl J Med. 1971 Nov 18;285(21):1157-60. doi: 10.1056/NEJM197111182852101.
3
Hospital-acquired serum hepatitis. Report of an outbreak.医院获得性血清性肝炎。一次暴发的报告。
JAMA. 1972 Mar 20;219(12):1577-80.
4
Reporting of post-transfusion jaundice.输血后黄疸的报告。
Can Med Assoc J. 1973 Dec 1;109(11):1111-2.
5
Viral hepatitis: an occupational hazard to surgeons.病毒性肝炎:外科医生面临的职业危害。
JAMA. 1973 Jan 22;223(4):395-400.
6
Frequency of hepatitis B antigen in blood donors.献血者中乙肝抗原的频率。
Can Med Assoc J. 1973 Mar 3;108(5):570-2.
7
Chronic active liver disease reexamined: prognosis hopeful.慢性活动性肝病再审视:预后乐观。
Gastroenterology. 1974 Mar;66(3):450-64.
8
Hepatitis B antigen activity in protein subunits produced by sonicaation.
Nat New Biol. 1973 Feb 21;241(112):240-1. doi: 10.1038/newbio241240a0.
9
Hepatitis B transmission by dentists.牙医传播乙型肝炎。
JAMA. 1974 May 27;228(9):1139-40.
10
Viral hepatitis: current concepts.
Postgrad Med. 1973 Jan;53(1):77-81. doi: 10.1080/00325481.1973.11713338.