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CMV / Congenital CMV

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1 🐼 Work / ... / 疾病資料庫 Disease database / CMV / Congenital CMV Share Add icon Add cover CMV / Congenital CMV 專科 🦠INF 👶🏻PED 最後複習日 April 30, 2023 Status Studying 2 more properties 2 backlinks Definition / Introduction 有90%的華人都曾經有過CMV感染,但無明顯症狀,且體內已有IgG抗體保護。 若「初次感染發生在懷孕期間」,則可能導致子宮內感染,侵襲胎兒神經系統、心血管系統、肺、脾等器官。 足月健康的新生兒,媽咪血清反應陽性是否可以哺乳? 可以 但是血清陽性(Seropositive)的媽媽哺餵乳汁,新生兒感染巨細胞病毒的機率為60~70%,如果是我就不餵了,他值得更好的餒餒 不建議哺乳:(感染好像只有HIV和HTLV-1) Epidemiology 歐洲新生兒發生的比例約為3~12/1000。在這些被感染的新生兒當中,約15~65%會有聽力障礙及不同程度不同部位之神經學異常。整體來說,所有CMV感染併聽力障礙的比例為0.2~0.6/1000。 Classifications Etiology / Risk factors Pathophysiology Clinical manifestations 胎兒在感染後僅10%有明顯癥狀 活產的新生兒可能肝脾腫大、黃疸、肝炎、紫斑症及各種先天性畸形 90%以上的嬰兒出生時其實完全正常,觀察數年後,10~20%逐步出現聽力障礙、心智發展受損等遲發性神經學症狀。 When to suspect? Examinations and Diagnosis Management Prognosis Complications & Associated dz Associated course or speech ? Ask AI Text Link Comment B i U S A 醫學四

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