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丙型肝炎的初级保健医师实用指南。

Hepatitis C for primary care physicians.

机构信息

the Department of Community and Family Medicine, University of Missouri-Kansas City; and the Department of Family Medicine, University of North Carolina at Chapel Hill.

出版信息

J Am Board Fam Med. 2014 Mar-Apr;27(2):284-91. doi: 10.3122/jabfm.2014.02.130165.

Abstract

Hepatitis C is a common cause of cirrhosis, hepatocellular carcinoma, and liver transplant. Although it is usually asymptomatic, new screening recommendations will lead to increased recognition by primary care physicians. Rapidly evolving treatment recommendations are making this a treatable infection for many patients. Recognition of the infection and initiation of treatment for appropriate patients will decrease the likelihood of progression to cirrhosis and hepatocellular carcinoma. Primary care physicians have the difficult task of managing comorbid conditions, such as chronic pain and hyperlipidemia, in patients with hepatitis C, as well as a potential for treating hepatitis C.

摘要

丙型肝炎是肝硬化、肝细胞癌和肝移植的常见病因。虽然它通常没有症状,但新的筛查建议将导致初级保健医生更能识别它。不断发展的治疗建议使许多患者能够治疗这种感染。认识到这种感染并为合适的患者开始治疗,将降低进展为肝硬化和肝细胞癌的可能性。初级保健医生面临着管理丙型肝炎患者合并症的艰巨任务,如慢性疼痛和高血脂,以及治疗丙型肝炎的潜在可能。

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