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肾综合征出血热

Hemorrhagic Fever with Renal Syndrome.

作者信息

Noh Ji Yun, Jung Jaehun, Song Jin Won

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Department of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea.

出版信息

Infect Chemother. 2019 Dec;51(4):405-413. doi: 10.3947/ic.2019.51.4.405. Epub 2019 Oct 31.

Abstract

In Korea, hemorrhagic fever with renal syndrome (HFRS) was first reported in a United Nations (UN) soldier stationed in the central front, also known as the "Iron Triangle". In 1976, professor Ho Wang Lee discovered an antigen in the lung and kidney tissues of . In 1980, this novel virus was named Hantaan virus after the Hantaan river. The Old World Hantaviruses, which are usually found in East Asia and Europe, are generally transmitted to humans via the respiratory pathway during dry seasons, usually in late spring and fall. Currently, 300 - 600 cases per year are reported in Korea with a mortality rate of 1 - 2%. The typical clinical course of HFRS is classified into five phases: febrile, hypotensive, oliguric, diuretic, and convalescent. And treatment for HFRS is mostly conservative. A vaccine for the Hantaan virus was developed in 1988 and marketed in 1990. Because HFRS outbreaks mostly occur in regions near the truce line in Korea, vaccination is virtually the only protection against the virus among military personnel working in such regions and local residents. Therefore, proving the effectiveness of the HFRS vaccine and devising efficient vaccination plans have been considered a major task for Korea's health authorities.

摘要

在韩国,肾综合征出血热(HFRS)首次报告于一名驻扎在中部前线(又称“铁三角”)的联合国士兵身上。1976年,李镐汪教授在……的肺和肾组织中发现了一种抗原。1980年,这种新型病毒以汉滩江命名为汉滩病毒。旧世界汉坦病毒通常在东亚和欧洲被发现,一般在旱季(通常是春末和秋季)通过呼吸道途径传播给人类。目前,韩国每年报告300 - 600例病例,死亡率为1 - 2%。肾综合征出血热的典型临床病程分为五个阶段:发热期、低血压期、少尿期、多尿期和恢复期。肾综合征出血热的治疗大多是保守治疗。1988年研发出汉滩病毒疫苗,并于1990年上市。由于肾综合征出血热疫情大多发生在韩国停战线附近地区,在这些地区工作的军事人员和当地居民中,接种疫苗实际上是预防该病毒的唯一保护措施。因此,证明肾综合征出血热疫苗的有效性并制定有效的接种计划一直被视为韩国卫生当局的一项主要任务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d54/6940369/2055c23bca0b/ic-51-405-g001.jpg

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