老年戊型病毒性肝炎的临床结局及预防策略  

Clinical outcome of viral hepatitis E in the elderly patients and the preveation stategies

作　　者：张向桐 丁洋[1] ZHANG Xiang-tong;DING Yang(Department of Infectious Diseases,Shengjing Hospital of China Medical University,Shenyang 110022,China)

机构地区：[1]中国医科大学附属盛京医院感染科,辽宁沈阳110022

出　　处：《中国实用内科杂志》2023年第5期378-380,共3页Chinese Journal of Practical Internal Medicine

摘　　要：戊型病毒性肝炎作为一种自限性疾病,通常病情较轻。但老年戊型病毒性肝炎相对病情重和预后差,尤其有肿瘤、免疫功能低下及慢性肝病等基础疾病的老年戊型病毒性肝炎患者,易发展成为慢性肝炎、肝衰竭和肝硬化失代偿。早期诊断和积极治疗是改善老年戊型病毒性肝炎患者临床结局的关键。老年人积极主动接种戊肝疫苗是预防戊型病毒性肝炎最可靠的措施。Hepatitis E is a self-limiting disease and usually mild.However,hepatitis E in elderly patients is relatively severe and has a poor prognosis.Especially elderly patients with underlying diseases such as tumor,immune dysfunction and chronic liver diseases are prone to develop into chronic hepatitis E,liver failure and decompensated cirrhosis.Early diagnosis and active treatment are the key to improve the clinical outcome on hepatitis E in elderly patients.Active vaccination of hepatitis E vaccine in elder population is reliable measure to prevent hepatitis E.

关 键 词：戊型病毒性肝炎 老年 临床特点 治疗 预防 

分 类 号：R512.6[医药卫生—内科学]