\uff08\u4e00\uff09 \u6c34\u75d8(Varicella)\u00a0
1. \u70ba\u6c34\u75d8\u5e36\u72c0\u75b1\u75b9\u75c5\u6bd2\uff08varicella-zoster virus [VZV]\uff09\u5f15\u8d77\u4e4b\u9ad8\u50b3\u67d3\u6027\u75be\u75c5\uff0c\u521d\u671f\uff08\u7d05\u75b9\u51fa\u73fe\u524d1\u20132\u5929\uff09\u5305\u542b\u8f15\u5fae\u767c\u71d2\uff0837.5\u201339\u2103\uff09\u3001\u75b2\u5026\u3001\u98df\u617e\u4e0d\u632f\u3001\u982d\u75db\u53ca\u808c\u8089\u6216\u95dc\u7bc0\u75e0\u75db\u7b49\u75c7\u72c0\uff0c\u4e4b\u5f8c\u76ae\u819a\u958b\u59cb\u51fa\u73fe\u7d05\u75b9\uff0c\u6f38\u767c\u5c55\u6210\u7d05\u4e18\u75b9\u3001\u6c34\u6ce1\u75b9\u3001\u81bf\u6ce1\u75b9\u800c\u5f8c\u7d50\u75c2\uff0c\u7531\u81c9\u3001\u982d\u76ae\u5f80\u8ec0\u5e79\u56db\u80a2\u5ef6\u4f38\uff0c\u5168\u8eab\u6027\u76ae\u75b9\u9010\u6f38\u5feb\u901f\u986f\u73fe\u96a8\u5f8c\u8b8a\u6210\u6c34\u75b1\uff0c\u6700\u5f8c\u7559\u4e0b\u7c92\u72c0\u75c2\u76ae\uff08\u901a\u5e38\u7d04\u65bc\u4e8c\u81f3\u56db\u661f\u671f\u5167\u75ca\u7652\uff09\u3002
2. \u66fe\u65bd\u6253\u904e\u75ab\u82d7\u8005\u4ecd\u53ef\u80fd\u7f79\u60a3\u6c34\u75d8\uff0c\u63a5\u7a2e\u75ab\u82d742\u5929\u5f8c\u4ecd\u611f\u67d3\u91ce\u751f\u682a\u6c34\u75d8\u7a31\u4e4b\u70ba\u300c\u75ab\u82d7\u5931\u6557\u7684\u611f\u67d3\uff08Breakthrough Infection \uff09\u300d\uff0c\u5176\u75c5\u7a0b\u8f03\u77ed(4\u20136\u5929)\u3001\u6c34\u75b1\u6578\u7d0450\u9846\u4ee5\u4e0b\u4e14\u75c7\u72c0\u8868\u73fe\u6eab\u548c\uff0c\u7a81\u7834\u611f\u67d3\u60a3\u8005\u7684\u50b3\u67d3\u529b\u7d04\u70ba\u672a\u66fe\u63a5\u7a2e\u75ab\u82d7\u60a3\u8005\u76841\uff0f3\uff0c\u60df\u66fe\u63a5\u7a2e\u904e\u6c34\u75d8\u75ab\u82d7\u8005\u4ecd\u670925\uff05\u81f330\uff05\u53ef\u80fd\u51fa\u73fe\u8f03\u56b4\u91cd\u7684\u6c34\u75d8\u75c7\u72c0\uff0c\u82e5\u6c34\u75b1\u591a\u65bc50\u8655\uff0c\u5247\u50b3\u67d3\u529b\u8207\u672a\u66fe\u63a5\u7a2e\u75ab\u82d7\u60a3\u8005\u76f8\u4f3c\uff0c\u7f79\u75c5\u671f\u9593\u4ecd\u61c9\u8207\u4ed6\u4eba\u5340\u9694\uff0c\u4e0d\u5b9c\u5ffd\u8996\u3002<\/p>\n
\u00a0\uff08\u4e8c\uff09 \u6c34\u75d8\u4f75\u767c\u75c7(Complications of Varicella)\uff1a
1. \u5c0f\u65bc1\u6b72\u4e4b\u5b30\u5152\u3001\u5b55\u5a66\u3001\u6210\u4eba\u53ca\u514d\u75ab\u7f3a\u9677\u8005\uff08\u4f8b\uff1a\u60a3\u6709\u56b4\u91cd\u75be\u75c5\u5982\u764c\u75c7\u3001\u514d\u75ab\u7f3a\u9677\u8207\u4e0d\u5168\u8005\u3001\u6b63\u4f7f\u7528\u514d\u75ab\u6291\u5236\u5291\u5982\u985e\u56fa\u9187\u8005\uff09\u82e5\u7f79\u60a3\u6c34\u75d8\u70ba\u6c34\u75d8\u4f75\u767c\u75c7\u4e4b\u9ad8\u5371\u96aa\u7fa4\u3002
2. \u6c34\u75d8\u4f75\u767c\u75c7\u5305\u542b\u7e7c\u767c\u6027\u7d30\u83cc\u611f\u67d3\uff08\u4f8b\u5982\u8702\u7aa9\u7d44\u7e54\u708e\u3001\u58de\u6b7b\u6027\u7b4b\u819c\u708e\u3001\u6557\u8840\u75c7\u3001\u4e2d\u6bd2\u6027\u4f11\u514b\u5fb5\u5019\u7fa4\uff09\u3001\u80ba\u708e\u3001\u8166\u708e\u3001\u5c0f\u8166\u6027\u5171\u6fdf\u5931\u8abf\u3001\u96f7\u6c0f\u7d9c\u5408\u75c7\u5019\u7fa4(Reye\u2019s Syndrome)\u53ca\u6b7b\u4ea1\u7b49\u3002
3. \u6c34\u75d8\u4f75\u767c\u75c7\u7684\u81f4\u6b7b\u539f\u56e0\uff0c\u5728\u6210\u4eba\u4ee5\u539f\u767c\u6027\u80ba\u708e\uff0c\u5c0f\u5b69\u4ee5\u6557\u8840\u75c7\u548c\u8166\u708e\u6700\u5e38\u898b\u3002\u5c0d\u65bc\u67d0\u4e9b\u7279\u6b8a\u7684\u60a3\u8005\uff0c\u5982\u767d\u8840\u75c5\u5b69\u7ae5\u548c\u65b0\u751f\u5152\uff0c\u5247\u81f4\u6b7b\u7387\u9ad8\u90545\uff05\u81f310\uff05\u3002<\/p>\n
\u00a0\uff08\u4e09\uff09 \u65b0\u751f\u5152\u6c34\u75d8\u5e36\u72c0\u6ce1\u75b9\u75c5\u6bd2\uff08varicella-zoster virus\uff09\u611f\u67d3
1. \u5148\u5929\u6027\u6c34\u75d8\u75c7\u5019\u7fa4\uff08Congenital Varicella Syndrome\uff09\uff1a\u61f7\u5b5520\u9031\u524d\u611f\u67d3\u6c34\u75d8\u4e4b\u6bcd\u89aa\u6240\u751f\u4e0b\u4e4b\u5b30\u5152\uff0c\u51fa\u73fe\u4f4e\u9ad4\u91cd\u3001\u7622\u75d5\u6027\u7684\u76ae\u819a\u75c5\u8b8a\uff08Cicatricial skin lesions in a dermatomal distribution \uff09\u3001\u773c\u775b\u7f3a\u9677\u3001\u56db\u80a2\u767c\u80b2\u4e0d\u5168\u3001\u4e2d\u6a1e\u795e\u7d93\u7570\u5e38\u7b49\u5148\u5929\u6027\u65b0\u751f\u5152\u6c34\u75d8\u75c7\u72c0\u7a31\u4e4b\u3002\u6b64\u75c7\u4e26\u4e0d\u5e38\u898b\uff0c\u767c\u751f\u7387\u6975\u4f4e\u7d04\u57280.4%-2%\u9593\u3002
2. \u65b0\u751f\u5152\u6c34\u75d8(Neonatal Varicella)\uff1a
\uff08\uff11\uff09 \u5206\u5a29\u524d5\u5929\u81f3\u5f8c2\u5929\u611f\u67d3\u5230\u6c34\u75d8\u75c5\u6bd2\u7684\u6bcd\u89aa\u6240\u7522\u4e0b\u7684\u65b0\u751f\u5152\u5728\u51fa\u751f\u5f8c5-10\u5929\u5de6\u53f3\u51fa\u73fe\u65b0\u751f\u5152\u6c34\u75d8\u75c7\u72c0\uff0c\u53c8\u7a31\u300c\u5468\u7522\u671f\u6c34\u75d8\u300d\uff08Perinatal Varicella\uff09\uff0c\u7531\u65bc\u6bcd\u9ad4\u6c92\u6709\u8db3\u5920\u6642\u9593\u7522\u751f\u6297\u9ad4\u53ef\u4ee5\u904b\u9001\u5230\u80ce\u5152\u9ad4\u5167\u4fdd\u8b77\u80ce\u5152\u6709\u95dc\u3002\u5176\u5371\u96aa\u6027\u548c\u81f4\u6b7b\u7387\u53ef\u905425-30%\u3002
\uff08\uff12\uff09 \u82e5\u65b0\u751f\u5152\u65bc\u51fa\u751f\u5f8c10-28\u5929\u624d\u7f79\u60a3\u6c34\u75d8\uff0c\u75c7\u72c0\u901a\u5e38\u8f03\u5468\u7522\u671f\u6c34\u75d8\u8f15\u5fae\u3002
\uff08\uff13\uff09 \u9662\u5167\u611f\u67d3\u4e5f\u53ef\u80fd\u662f\u65b0\u751f\u5152\u6c34\u75d8\u7684\u611f\u67d3\u6e90\u4e4b\u4e00\u3002
3. \u5b30\u5e7c\u5152\u671f\u5e36\u72c0\u75b1\u75b9\uff1a\u6bcd\u89aa\u65bc\u61f7\u5b55\u671f\u9593\u66fe\u611f\u67d3\u6c34\u75d8\uff0c\u5176\u5b30\u5152\u5373\u6709\u53ef\u80fd\u767c\u751f\u6b64\u75c7\uff0c\u9664\u4e86\u5206\u5e03\u5728\u795e\u7d93\u76ae\u7bc0\u7684\u5e36\u72c0\u75b1\u75b9\u5916\uff0c\u8eab\u9ad4\u5176\u4ed6\u90e8\u4f4d\u4e26\u51fa\u73fe\u6c34\u75d8\u6a23\u7684\u76ae\u75b9\u3002<\/p>\n
\u00a0\uff08\u56db\uff09 \u5e36\u72c0\u75b1\u75b9\uff08Herpes Zoster\uff09\uff1a\u5728\u6c34\u75d8\u5fa9\u539f\u4e4b\u5f8c\u85c9\u6f5b\u4f0f\u65bc\u5bc4\u4e3b\u7684\u795e\u7d93\u7bc0\u4e2d\uff0c\u4ee5\u907f\u514d\u88ab\u514d\u75ab\u7cfb\u7d71\u6467\u6bc0\u3002\u7576\u5bbf\u4e3b\u514d\u75ab\u529b\u6e1b\u5f31\u6642\uff0c\u75c5\u6bd2\u4fbf\u6703\u6d3b\u5316\u4e26\u6cbf\u8457\u5176\u5206\u5e03\u7684\u795e\u7d93\u76ae\u7bc0\u6563\u5e03\uff0c\u9020\u6210\u5e36\u72c0\u75b1\u75b9\uff0c\u4fd7\u7a31\u76ae\u86c7\uff08shingles\uff09\u3002\u800c\u5e36\u72c0\u75b1\u75b9\u5f8c\u7684\u795e\u7d93\u75db\u4ea6\u76f8\u7576\u60f1\u4eba\u3002<\/p>\n
\u00a0\u50b3\u64ad\u65b9\u5f0f\uff1a<\/p>\n
\uff08\u4e00\uff09 \u6c34\u75d8\u4e3b\u8981\u662f\u7d93\u7531\u76ae\u819a\u76f4\u63a5\u63a5\u89f8\u3001\u98db\u6cab\u6216\u7a7a\u6c23\u50b3\u67d3\uff0c\u63a5\u89f8\u5230\u5f97\u5e36\u72c0\u75b1\u75b9\u60a3\u8005\u4e4b\u6c34\u75b1\uff0c\u4e5f\u53ef\u4ee5\u9020\u6210\u50b3\u67d3\u3002\u6b64\u5916\uff0c\u4e5f\u53ef\u88ab\u7d93\u7531\u88ab\u6c34\u75b1\u6db2\u548c\u9ecf\u819c\u5206\u6ccc\u7269\u6c61\u67d3\u7684\u5668\u7269\u9593\u63a5\u50b3\u67d3\u3002\u75c2\u76ae\u5247\u4e0d\u5177\u50b3\u67d3\u6027\u3002<\/p>\n
\uff08\u4e8c\uff09 \u6b64\u75c7\u662f\u6700\u5177\u50b3\u67d3\u6027\u7684\u75be\u75c5\u4e4b\u4e00\uff0c\u7279\u5225\u662f\u5728\u767c\u75b9\u65e9\u671f\uff0c\u6839\u64da\u7814\u7a76\u986f\u793a\u5176\u5bb6\u5ead\u4e8c\u6b21\u4fb5\u8972\u7387\u9ad8\u905485%-90%\u3002<\/p>\n
\u00a0\u6f5b\u4f0f\u671f\uff1a<\/p>\n
2\uff5e3\u9031\uff0c\u4e00\u822c\u70ba13\uff5e17\u5929\u3002<\/p>\n
\u00a0\u767c\u75c5\u75c7\u72c0\uff1a<\/p>\n
1. \u6c34\u75d8\u70ba\u6c34\u75d8\u5e36\u72c0\u75b1\u75b9\u75c5\u6bd2\uff08varicella-zoster virus [VZV]\uff09\u5f15\u8d77\u4e4b\u9ad8\u50b3\u67d3\u6027\u75be\u75c5\uff0c\u521d\u671f\uff08\u7d05\u75b9\u51fa\u73fe\u524d1\u20132\u5929\uff09\u5305\u542b\u8f15\u5fae\u767c\u71d2\uff08\u2103\uff09\u3001\u75b2\u5026\u3001\u98df\u617e\u4e0d\u632f\u3001\u982d\u75db\u53ca\u808c\u8089\u6216\u95dc\u7bc0\u75e0\u75db\u7b49\u75c7\u72c0\uff0c\u4e4b\u5f8c\u76ae\u819a\u958b\u59cb\u51fa\u73fe\u7d05\u75b9\uff0c\u6f38\u767c\u5c55\u6210\u7d05\u4e18\u75b9\u3001\u6c34\u6ce1\u75b9\u3001\u81bf\u6ce1\u75b9\u800c\u5f8c\u7d50\u75c2\uff0c\u7531\u81c9\u3001\u982d\u76ae\u5f80\u8ec0\u5e79\u56db\u80a2\u5ef6\u4f38\uff0c\u5168\u8eab\u6027\u76ae\u75b9\u9010\u6f38\u5feb\u901f\u986f\u73fe\u96a8\u5f8c\u8b8a\u6210\u6c34\u75b1\uff0c\u6700\u5f8c\u7559\u4e0b\u7c92\u72c0\u75c2\u76ae\uff08\u901a\u5e38\u7d04\u65bc\u4e8c\u81f3\u56db\u661f\u671f\u5167\u75ca\u7652\uff09\u3002<\/p>\n
2. \u66fe\u65bd\u6253\u904e\u75ab\u82d7\u8005\u4ecd\u53ef\u80fd\u7f79\u60a3\u6c34\u75d8\uff0c\u63a5\u7a2e\u75ab\u82d742\u5929\u5f8c\u4ecd\u611f\u67d3\u91ce\u751f\u682a\u6c34\u75d8\u7a31\u4e4b\u70ba\u300c\u75ab\u82d7\u5931\u6557\u7684\u611f\u67d3\uff08Breakthrough Infection \uff09\u300d\uff0c\u5176\u75c5\u7a0b\u8f03\u77ed(4\u20136\u5929)\u3001\u6c34\u75b1\u6578\u7d0450\u9846\u4ee5\u4e0b\u4e14\u75c7\u72c0\u8868\u73fe\u6eab\u548c\uff0c\u7a81\u7834\u611f\u67d3\u60a3\u8005\u7684\u50b3\u67d3\u529b\u7d04\u70ba\u672a\u66fe\u63a5\u7a2e\u75ab\u82d7\u60a3\u8005\u76841\uff0f3\uff0c\u60df\u66fe\u63a5\u7a2e\u904e\u6c34\u75d8\u75ab\u82d7\u8005\u4ecd\u670925\uff05\u81f330\uff05\u53ef\u80fd\u51fa\u73fe\u8f03\u56b4\u91cd\u7684\u6c34\u75d8\u75c7\u72c0\uff0c\u82e5\u6c34\u75b1\u591a\u65bc50\u8655\uff0c\u5247\u50b3\u67d3\u529b\u8207\u672a\u66fe\u63a5\u7a2e\u75ab\u82d7\u60a3\u8005\u76f8\u4f3c\uff0c\u7f79\u75c5\u671f\u9593\u4ecd\u61c9\u8207\u4ed6\u4eba\u5340\u9694\uff0c\u4e0d\u5b9c\u5ffd\u8996\u3002<\/p>\n
3. \u6c34\u75d8\u4f75\u767c\u75c7\u5305\u542b\u7e7c\u767c\u6027\u7d30\u83cc\u611f\u67d3\uff08\u4f8b\u5982\u8702\u7aa9\u7d44\u7e54\u708e\u3001\u58de\u6b7b\u6027\u7b4b\u819c\u708e\u3001\u6557\u8840\u75c7\u3001\u4e2d\u6bd2\u6027\u4f11\u514b\u5fb5\u5019\u7fa4\uff09\u3001\u80ba\u708e\u3001\u8166\u708e\u3001\u5c0f\u8166\u6027\u5171\u6fdf\u5931\u8abf\u3001\u96f7\u6c0f\u7d9c\u5408\u75c7\u5019\u7fa4(Reye\u2019s Syndrome)\u53ca\u6b7b\u4ea1\u7b49\u3002<\/p>\n
\u00a0\u9810\u9632\u65b9\u6cd5\uff1a<\/p>\n
1.\u9810\u9632\u6c34\u75d8\u6700\u6709\u6548\u7684\u65b9\u6cd5\u5c31\u662f\u6309\u6642\u63a5\u7a2e\u6c34\u75d8\u75ab\u82d7\u3002<\/p>\n
2.\u7dad\u6301\u826f\u597d\u7684\u500b\u4eba\u53ca\u74b0\u5883\u885e\u751f\u3002<\/p>\n
3.\u4fdd\u6301\u5ba4\u5167\u7a7a\u6c23\u6d41\u901a\uff0c\u907f\u514d\u9577\u671f\u8655\u65bc\u5bc6\u9589\u7a7a\u9593\u5167\u3002<\/p>\n
4.\u4fdd\u6301\u96d9\u624b\u6e05\u6f54\uff0c\u4e26\u7528\u6b63\u78ba\u7684\u65b9\u6cd5\u6d17\u624b\u3002<\/p>\n
5.\u60a3\u8005\u61c9\u9075\u5faa\u547c\u5438\u9053\u885b\u751f\u8207\u54b3\u55fd\uf9b6\u7bc0\u3002<\/p>\n
\u00a0\u6cbb\u7642\u65b9\u6cd5\uff1a<\/p>\n
\u76ee\u524d\u5df2\u6709\u6297\u75c5\u6bd2\u85e5\u7269\u53ef\u4ee5\u6709\u6548\u6cbb\u7642\u6c34\u75d8\u6216\u5e36\u72c0\u75b1\u75b9\uff0c\u96d6\u7136\u7d55\u5927\u90e8\u4efd\u75c5\u60a3\u90fd\u4e0d\u6703\u5f15\u8d77\u4f75\u767c\u75c7\uff0c\u4f46\u82e5\u5bb6\u4e2d\u5152\u7ae5\u51fa\u73fe\u7d05\u75b9\u6216\u6c34\u6ce1\u7b49\u75c5\u5fb5\uff0c\u8acb\u7acb\u5373\u5c31\u91ab\u6cbb\u7642\u3002<\/p>\n
\u00a0\u9810\u9632\u63a5\u7a2e\u5efa\u8b70\uff1a<\/p>\n
1.\u5e38\u898f\u63a5\u7a2e\uff1a\u81ea2004\u5e741\u67081\u65e5\u8d77\uff0c\u653f\u5e9c\u63d0\u4f9b2003\u5e741\u6708\u4ee5\u5f8c\u51fa\u751f\u4e14\u5e74\u6eff12\u500b\u6708\u4ee5\u4e0a\u7684\u5e7c\u5152\u514d\u8cbb\u63a5\u7a2e\u4e59\u5291\u6c34\u75d8\u75ab\u82d7\u3002<\/p>\n
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