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医院地址:淮安市清江浦区延安
     东路128号
邮编:223002
门诊咨询台:0517-80321950
总值班:15161766036
0517-80321918
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医患联手 “珠峰”易攀

       年后第一个门诊,肿瘤科吕春主任放弃午休的时间,乙肝患者小张早早坐在诊室,焦急等待着小张的化验结果……

“看懂了么?”                                                    

“我想哭……”                                                                          

       一句“我想哭”,道出了小张多年的委屈与担忧,是一张什么样的化验单让患者如此释怀、让一位主任如此关心?

       原来,在这次抗乙肝病毒治疗中,小张的表面抗原阳性果然如吕主任所预料的那样转阴了。在吕主任治疗的多例肝病患者中,小张是2019年表面抗原阴转成功的第一例。

       小张的乙肝病史已有十多年。虽说慢乙肝短期内不会对人体有太大的摧残与伤害,但他总觉得这个病毒像定时炸弹一样,时刻威胁着自己的健康。这么多年,小张一直积极跟病毒作斗争,虽然每次都有一点点进步,病情也得到了一定的控制,但是想彻底清除病毒一直是一个遥不可及的梦,直到吕主任向他推荐“珠峰”工程                      

       吕主任介绍,珠峰工程助力慢乙肝患者实现临床治愈的这么一个项目,慢性乙型肝炎防治指南指出,部分条件适合的患者可追求临床治愈(理想的治疗终点),即停止治疗后持续的病毒学应答且表面抗原阴转或伴有表面抗体阳转、丙氨酸氨基转移酶正常、肝组织病变轻微或无病变。近年来,国内专家开展的多项研究显示,经核苷(酸)类似物治疗后表面抗原低水平的慢乙肝患者,序贯或联合长效干扰素治疗有较高临床治愈的机会,约30%-50%的患者可达到表面抗原清除,实现停药。

      吕春主任介绍,参与“珠峰”工程需满足的条件:1.核苷类药物治疗经1年以上,HBsAg≤1500 IU/ml、HBeAg 阴性且HBV DNA<100 IU/ml 的慢乙肝患者2.根据乙肝患者个体情况选择治疗方案长效干扰素单用、长效干扰素+核苷类药物全程联用或短程联用后序贯长效干扰素治疗。吕春主任特地强调,乙肝抗病毒治疗有严格适应症,建议患者到专业的医院就诊咨询。

笔者深知任何一种疾病治疗都不容易,但是只要有充满希望,恰巧又符合条件,我们就积极面对。勇敢地去攀“珠峰”,说不定也能实现小张样的临床治愈……         (九病区 陈丽丽)

发布时间:2019/3/12 16:51:33 点击率:47 [返回上一页]
 
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医院地址:淮安市清江浦区延安东路128号  门诊咨询台:0517-80321950 总值班:15161766036  0517-80321918
(24小时热线)