课件：乙肝两对半的解读.ppt

乙肝两对半的解读 Second liver half-and-halh interpretatino 乙肝两对半的定义 The Definitino Of Secong Liver Two Half-and-Half 大三阳和小三阳 Big3 this world and small 3this world 乙肝的传播途径 The transmission way of second liver * 对乙肝的误解 Misunderstanding of hepatitis b 什么是乙肝两对半 乙肝两对半是国内医院最常用的乙肝病毒 (HBV)感染检测血清标志物。 (Second liver two half-and-half is the most commonly used in domestic hospital of hepatitis b virus (HBV) infection detection serum marker) ①乙肝表面抗原（HBsAg） ②乙肝表面抗体（抗-HBs） ③乙肝e抗原（HBeAg） ④乙肝e抗体（抗-HBe） ⑤乙肝核心抗体（抗-HBc） 测定两种抗原和三种抗体，也就是俗称的“两对半”。 Determination of two kinds of antigens and three kinds of antibody, also known as the two half-and-half. 大三阳和小三阳 Big3 this world and small 3this world “大三阳”是指“乙肝两对半”化验结果为表面抗原、e抗原和核心抗体检测均是阳性。一般说明病毒复制水平高、传染性强。 Big 3 this world refers to second liver two half-and-half test results for the surface antigen, e antigen and core antibody tests are positive. General descriptions with high-level viral replication and infectivity. “小三阳”是指“乙肝两对半”化验结果为表面抗原、E抗体和核心抗体检测均是阳性。一般说明病毒复制水平相对较低、传染弱。 What is small 3 this world small 3 this world refers to second liver two half-and-half test results for the surface antigen, E antibody and core antibody tests are positive. General descriptions viral replication level is relatively low and weak. 可见大三阳和小三阳的区别主要在病毒复制活跃程度上，但并不表示“大三阳”一定比“小三阳”病情严重，临床研究证实，有些小三阳患者更容易转化为肝癌。在治疗上，如果是乙肝患者且HBVDNA含量高，大三阳和小三阳的区别不大，都要以抗病毒治疗为主，辅助抗炎保肝，抗纤维化治疗。 Visible big 3 this world and small 3 this world difference is mainly in the viral replication activity, but it doesnt mean the big 3 this world than small 3 this world the disease is severe, clinical studies have confirmed that some small 3 this world are more likely to be converted into liver cancer patients. In treatment, if is hepatitis b patients and hbvdna content high, the difference between big 3 this world and small 3 this world is not big, to give priority to with antiviral therapy, anti-inflammatory, protecting liver, auxiliary anti fibrosis treatment. 乙肝的传播途径