乙型肝炎病毒母婴传播预防临床指南(2020)

2020-05-30 中华医学会妇产科学分会产科学组 中华妇产科杂志.2020,55(5):291-299.

乙型肝炎病毒(HBV)母婴传播是我国慢性乙型肝炎(乙肝)的主要原因,预防HBV母婴传播是控制慢性乙肝的关键。本指南在《乙型肝炎病毒母婴传播预防临床指南(第1版)》基础上,更新了推荐建议,主要包括:(1

中文标题:

乙型肝炎病毒母婴传播预防临床指南(2020)

发布日期:

2020-05-30

简要介绍:

乙型肝炎病毒(HBV)母婴传播是我国慢性乙型肝炎(乙肝)的主要原因,预防HBV母婴传播是控制慢性乙肝的关键。本指南在《乙型肝炎病毒母婴传播预防临床指南(第1版)》基础上,更新了推荐建议,主要包括:(1)所有孕妇产前需筛查乙肝血清学指标;(2)HBsAg阴性母亲,其新生儿按"0、1、6月"方案接种乙肝疫苗,通常不需使用乙肝免疫球蛋白(HBIG);(3)HBsAg阳性母亲,其新生儿出生后12 h内(越快越好)肌内注射1针HBIG,并同时肌内注射第1针乙肝疫苗(越快越好),1月和6月龄分别接种第2针和第3针疫苗;(4)为进一步减少母婴传播,孕妇HBV DNA>2×10 5 IU/ml或HBeAg阳性,从妊娠28~32周可开始服用抗病毒药物,分娩当日停药;(5)不推荐以减少HBV母婴传播为目的的剖宫产术。

 

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    2022-05-25 自此烟雨落盛京

    谢谢分享

    0

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    2022-03-24 a6806376

    学习了

    0

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    2022-01-17 大美女大美女大美女

    厉害了!

    0

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    2021-11-02 132e65ecm66暂无昵称

    值得拥有

    0

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    2021-10-07 村村小树

    学习了

    0

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