Domestically not found unknown children's serious acute hepatitis is paying attention to the development of the disease

The National Health and Health Commission issued an unknown cause of serious acute hepatitis diagnosis and treatment guidelines for children

Yangcheng Evening News all -media reporter Zhang Hua correspondent Liu Qisha

On June 16, the National Health and Health Commission issued the "Guidelines for the Diagnosis and Treatment of Children's Severe Acute Hepatitis (Trial)" (hereinafter referred to as the "Guide"). Although, since April this year, the serious acute hepatitis of children has swept the world for unknown reasons. So far, the cause and pathogenesis of the disease are still studying. However, the "Guide" clarifies the symptoms, diagnosis and treatment measures of this child acute hepatitis. What is the interpretation of liver disease experts in Guangzhou? The reporter interviewed relevant experts from the liver disease center of the Eighth Hospital of Guangzhou Medical University to understand how we face and prevent acute hepatitis in children.

Existing evidence does not support unknown hepatitis is contagious

The "Guide" mentioned that on May 27, 2022, WHO announced that 33 countries reported 650 suspected cases, at least 38 cases needed liver transplantation, and 9 deaths were killed. There is no obvious epidemiological association between various cases, and it does not support it as a contagious disease.

"When a report that appeared abroad 'unknown hepatitis', it attracted great attention from our attention." The director of the director of the Director of Liver Disease Center of the Eighth Hospital of the Affiliated City of Guangzhou Medical University told Yangcheng Evening News reporter that they checked the relevant documents and reports in detail, and they looked at them. Understand the information, but unfortunately, the cause of the acute severe hepatitis of children has not yet been fully clarified.

Guan Yujuan said: "The current cause hypothesis is mainly based on adenovirus infection. However, common adenovirus hepatitis is mainly found in people who are immune to inhibitory in the state of immune function. It is a new clinical manifestation of the new mutant strain of the gonad virus, or the existing virus strains have produced more serious performance on children who have no immunization (because social isolations have reduced daily exposure during the new coronary virus epidemic. Unknown causes of hepatitis may not be contagious. There are many possible causes of hepatitis. Poisoning, drugs, immune regulation abnormalities, other pathogenic infections other than viruses may cause serious liver function damage. "

Therefore, Guan Yujuan believes that for children with hepatitis, the most important thing is to discover timely treatment in time, so there is no need to panic.

No hepatitis cases have been found in China at present

According to reports, children who occurred in this "unknown cause of hepatitis" have acute hepatitis symptoms, such as jaundice, including yellow urine, yellow eyes, yellow skin, and may also have gastrointestinal symptoms, abdominal pain, diarrhea and vomiting. Most children have no fever. Check the liver function prompt "obvious abnormal liver function" during the treatment: Alanine transaminase, aspartinine transaminase increased significantly, and bilirubin increased. In severe cases, the clinical manifestations of liver failure, such as the rapid deepening of jaundice, irritability, coma, bleeding tendency, and some children with liver failure need to accept liver transplantation.

Xiao Guangming, chief physician of the Eighth Hospital of the Eight Hospital of Guangzhou Medical University, pointed out that these cases have completely ruled out hepatitis A, hepatitis B, hepatitis C, Ding liver, and pental hepatitis. At present, the cause of the certainty has not been found. Since no hepatitis of children has been found in China, experts said that the current development of the disease is currently paying attention to the development of the disease.

Experts remind that if there are children under the age of 10 in the family, they must urge them to maintain good hands and respiratory tract hygiene, and wash their hands thoroughly before and after meals. It is also necessary to pay close attention to the symptoms of hepatitis, including: dark urine, pottery -like feces, itching of the skin, yellow eyes or skin, muscle, joint pain, fever, no appetite, unusual fatigue, abdominal pain, etc.

- END -