{"id":196,"date":"2017-11-01T10:00:35","date_gmt":"2017-11-01T02:00:35","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/224020\/?page_id=196"},"modified":"2017-11-01T10:14:24","modified_gmt":"2017-11-01T02:14:24","slug":"1-2","status":"publish","type":"page","link":"https:\/\/web.csh.org.tw\/web\/224020\/?page_id=196","title":{"rendered":"B\u578b\u809d\u708e\u7d66\u4ed8\u689d\u4ef6(106\/4\/1)"},"content":{"rendered":"<p>10.7.3.Lamivudine 100mg(\u5982Zeffix)\uff1bentecavir (\u5982Baraclude)\uff1btelbivudine 600mg (\u5982Sebivo)\uff1btenofovir 300mg (\u5982Viread)\uff1a\uff0892\/10\/1\u300193\/2\/1\u300193\/8\/1\u300194\/10\/1\u300195\/10\/1\u300195\/11\/1\u300197\/8\/1\u300198\/11\/1\u300199\/5\/1\u300199\/7\/1\u3001100\/6\/1\u3001102\/2\/1\u3001104\/12\/1\u3001106\/1\/1)<br \/>\n\u9650\u7528\u65bc\u53c3\u52a0\u300c\u5168\u6c11\u5065\u5eb7\u4fdd\u96aa\u52a0\u5f37\u6162\u6027B\u578b\u53caC\u578b\u809d\u708e\u6cbb\u7642\u8a08\u756b\u300d\u4e4b\u4e0b\u5217\u6162\u6027\u75c5\u6bd2\u6027B\u578b\u809d\u708e\u60a3\u8005\uff1a<br \/>\n1.HBsAg(+)\u4e14\u5df2\u767c\u751f\u809d\u4ee3\u511f\u4e0d\u5168\u8005\uff0c\u4ee5lamivudine 100mg\u3001entecavir 1.0mg\u3001telbivudine 600mg\u3001\u6216tenofovir 300mg\u6cbb\u7642\uff0c\u5176\u7d66\u4ed8\u7642\u7a0b\u5982\u4e0b\uff1a\uff0898\/11\/1\u3001100\/6\/1\u3001102\/2\/1\u3001104\/12\/1\u3001106\/1\/1\uff09<br \/>\n(1)HBeAg\u967d\u6027\u75c5\u60a3\u6cbb\u7642\u81f3e\u6297\u539f\u8f49\u9670\u4e26\u518d\u7d66\u4ed8\u6700\u591a12\u500b\u6708\u6cbb\u7642\u3002<br \/>\n(2)HBeAg\u9670\u6027\u75c5\u60a3\u6cbb\u7642\u81f3\u5c11\u4e8c\u5e74\uff0c\u6cbb\u7642\u671f\u9593\u9700\u6aa2\u9a57\u8840\u6e05HBV DNA\uff0c\u4e26\u65bc\u6aa2\u9a57\u8840\u6e05HBV DNA\u9023\u7e8c\u4e09\u6b21\uff0c\u6bcf\u6b21\u9593\u96946\u500b\u6708\uff0c\u5747\u6aa2\u9a57\u4e0d\u51faHBV DNA\u6642\u53ef\u505c\u85e5\uff0c\u6bcf\u6b21\u7642\u7a0b\u81f3\u591a\u7d66\u4ed836\u500b\u6708\u3002<br \/>\n\u8a3b\uff1a<br \/>\n\u2160.\u809d\u4ee3\u511f\u4e0d\u5168\u689d\u4ef6\u70baprothrombin time\u5ef6\u9577\u22673\u79d2\u6216bilirubin (total)\u22672.0mg\/dL\uff0cprothrombintime\u5ef6\u9577\u4fc2\u4ee5\u8a72\u6b21\u6aa2\u9a57control\u503c\u70ba\u6e96\u3002<br \/>\n\u2161.Entecavir\u6bcf\u65e5\u9650\u4f7f\u75281\u7c92\u3002<br \/>\n2.\u6162\u6027\uff22\u578b\u809d\u708e\u75c5\u6bd2\u5e36\u539f\u8005HBsAg(+)\uff1a\uff0898\/11\/1\uff09<br \/>\n(1)~(6)(\u7565)<br \/>\n3.HBsAg(+)\u8d85\u904e6\u500b\u6708\u53caHBeAg(+)\u8d85\u904e3\u500b\u6708\uff0c\u4e14ALT\u503c\u5927\u65bc(\u6216\u7b49\u65bc)\u6b63\u5e38\u503c\u4e0a\u96505\u500d\u4ee5\u4e0a(ALT\u22675X)\uff0c\u7b26\u5408\u524d\u8ff0\u689d\u4ef6\u8005\uff0c\u5176\u7d66\u4ed8\u7642\u7a0b\u70ba\u6cbb\u7642\u81f3e\u6297\u539f\u8f49\u9670\u4e26\u518d\u7d66\u4ed8\u6700\u591a12\u500b\u6708\u3002\uff0898\/11\/1\u300199\/5\/1\u3001106\/1\/1\uff09<br \/>\n4.HBsAg(+)\u8d85\u904e6\u500b\u6708\u53caHBeAg(+)\u8d85\u904e3\u500b\u6708\uff0c\u5176ALT\u503c\u4ecb\u65bc\u6b63\u5e38\u503c\u4e0a\u96502\u81f35\u500d\u4e4b\u9593(2X\u2266ALT&lt;5X)\uff0c\u4e14\u8840\u6e05HBV DNA\u226720,000 IU\/mL\uff0c\u6216\u7d93\u7531\u809d\u7d44\u7e54\u5207\u7247\uff08\u8840\u53cb\u75c5\u60a3\u53ca\u985e\u8840\u53cb\u75c5\u60a3\u7d93\u7167\u6703\u6d88\u5316\u7cfb\u5c08\u79d1\u91ab\u5e2b\u540c\u610f\u5f8c\uff0c\u5f97\u4e0d\u4f5c\u5207\u7247\uff09\u8b49\u5be6HBcAg\u967d\u6027\u4e4b\u60a3\u8005\uff0c\u7b26\u5408\u524d\u8ff0\u689d\u4ef6\u8005\uff0c\u5176\u7d66\u4ed8\u7642\u7a0b\u70ba\u6cbb\u7642\u81f3e\u6297\u539f\u8f49\u9670\u4e26\u518d\u7d66\u4ed8\u6700\u591a12\u500b\u6708\u3002\uff0893\/8\/1\u300195\/11\/1\u300198\/11\/1\u300199\/5\/1\u3001106\/1\/1\uff09<br \/>\n5.HBsAg(+)\u8d85\u904e6\u500b\u6708\u53caHBeAg(-)\u8d85\u904e3\u500b\u6708\uff0c\u4e14ALT\u503c\u534a\u5e74\u6709\u5169\u6b21\u4ee5\u4e0a(\u6bcf\u6b21\u9593\u96943\u500b\u6708)\u5927\u65bc\u6216\u7b49\u65bc\u6b63\u5e38\u503c\u4e0a\u96502\u500d\u4ee5\u4e0a(ALT\u22672X)\uff0c\u4e14\u8840\u6e05HBV DNA\u22672,000 IU\/mL\uff0c\u6216\u7d93\u7531\u809d\u7d44\u7e54\u5207\u7247\uff08\u8840\u53cb\u75c5\u60a3\u53ca\u985e\u8840\u53cb\u75c5\u60a3\u7d93\u7167\u6703\u6d88\u5316\u7cfb\u5c08\u79d1\u91ab\u5e2b\u540c\u610f\u5f8c\uff0c\u5f97\u4e0d\u4f5c\u5207\u7247\uff09\u8b49\u5be6HBcAg\u967d\u6027\u4e4b\u60a3\u8005\uff0c\u7b26\u5408\u524d\u8ff0\u689d\u4ef6\u8005\uff0c\u5176\u7642\u7a0b\u81f3\u5c11\u4e8c\u5e74\uff0c\u6cbb\u7642\u671f\u9593\u9700\u6aa2\u9a57\u8840\u6e05HBV DNA\uff0c\u4e26\u65bc\u6aa2\u9a57\u8840\u6e05HBV DNA\u9023\u7e8c\u4e09\u6b21\uff0c\u6bcf\u6b21\u9593\u96946\u500b\u6708\uff0c\u5747\u6aa2\u9a57\u4e0d\u51faHBV DNA\u6642\u5f97\u505c\u85e5\uff0c\u6bcf\u6b21\u7642\u7a0b\u81f3\u591a\u7d66\u4ed836\u500b\u6708\u3002\uff0893\/8\/1\u300195\/11\/1\u300198\/11\/1\u3001106\/1\/1\u3001106\/4\/1\uff09<br \/>\n6.\u82e5\u4e0a\u8ff0\u6cbb\u7642\u4e2d\u51fa\u73felamivudine 100mg\u3001entecavir\u3001telbivudine\u6297\u85e5\u6027\u75c5\u6bd2\u682a\uff0c\u53ef\u6539\u63db\u5c0d\u65bc\u6297\u85e5\u682a\u6709\u6548\u4e4bB\u578b\u809d\u708e\u6297\u75c5\u6bd2\u85e5\u5291\u6cbb\u7642\uff0c\u6cbb\u7642\u85e5\u7269\u53ca\u7642\u7a0b\u4e4b\u898f\u5b9a\u8a73\u598210.7.4.\u4e4b1\u81f34\u9805\u3002\uff0898\/11\/1\u300199\/5\/1\u300199\/7\/1\u3001102\/2\/1\u3001104\/12\/1\uff09<br \/>\n7.\u7b26\u5408\u7b2c2\u81f35\u9805\u689d\u4ef6\u8005\uff0c\u82e5\u4f7f\u7528entecavir\uff0c\u5291\u91cf\u70ba\u6bcf\u65e50.5mg\u3002(104\/12\/1)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>10.7.3.Lamivudine 100mg(\u5982Zeffix)\uff1bentecav &hellip; <a href=\"https:\/\/web.csh.org.tw\/web\/224020\/?page_id=196\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":52,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-196","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/196"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=196"}],"version-history":[{"count":8,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/196\/revisions"}],"predecessor-version":[{"id":311,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/196\/revisions\/311"}],"up":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/52"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}