Three small open patients of hepatitis B can't ignore to suffer from the possibility of hepatocarcinoma

Three small open patients of hepatitis B can't ignore to suffer from the possibility of hepatocarcinoma
It is reported surgeon liver of BJ Union Hospital directed against foreign relevant GPT (ALT) a few days ago Normal three small open patients do not need to carry on the antiviral treatment, namely does not need the view that prevent medicines to the possibility to suffer from hepatocarcinoma to query. The liver surgeons of this institute think, according to the clinical experience of our country, most hepatitis B relevance hepatocarcinoma patients are while making a definite diagnosis of at first, mostly ALT normal three small open patients, should not neglect hepatitis B three little male genital and concerned withing of hepatocarcinoma. This part of patients are easiest to neglect because its hepatitis B is correlated with checking for being normal or negative more exactly, they face in bed to well below attention degree big three north, active hepatitis patient. October of 2008, the state-run hygiene research institute (NIH) of U.S.A. Hold the common understanding and develop the meeting to the prevention and cure of hepatitis B, put forward the instruction on chronic hepatitis B and indication against virus treatment, think persons who carry or duplicator of low degree that does not move about ' Mostly ALT normal three small open patients) The prognosis is better, do not need to carry on the antiviral treatment. But surgeon liver of BJ Union Hospital points out on the basis of a large amount of clinical practice, first of all, even three small open patient's prognosis of hepatitis B are better, but the virus has not been totally removed, here some patient long-term risk ( Liver cirrhosis, hepatocarcinoma,etc.) Still higher than the normal crowd notably. Secondly, the reason why evidence does not prove the result in this part of patients of antiviral treatment, because all chronic hepatitis B treat the guide and does not propose treating, thus form a paradox. Since a large amount of research reveals the present antiviral medicine can inhibit the virus to duplicate and lower hepatitis B and virus DNA level effectively, and side effect of medicine these relatively light, then as go on the tentative treatment in the conditional patients meanwhile, thus won the direct evidence of relevance between antiviral treatment and long-term prognosis. Great attention that the opinion of the physician of our country received international medical science and organized. AnnaS.F.Lok professor of one of the former authors of this instruction writes back to claim, she totally agrees to the view of surgeon liver of BJ Union Hospital, should launch long-term large-scale to treat the clinical trial while being antiviral in the intersection of liver function and normal the intersection of hepatitis B and little three open crowd. The letter in reply on opinion and AnnaS.F.Lok professor of the physician of our country is issued on the American hepatopathy research association magazine Hepatology at present. (great waves Zhao, wild goose of Chen Ming,)

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