输血相关传染病_____]_输血相关传染病；输血；受血者

受血者输血前5项传染指标检测结果及其意义

http://www.100md.com 《实用医技杂志》 2006年第2期

输血相关传染病,,],输血相关传染病；输血；受血者,1资料与方法,2结果,3讨论,参考文献：

     [摘要] 目的：评估受血者在输血前接受输血相关传染病检查的意义。方法：对1 302例受血者在输血前进行谷丙转氨酶(ALT)、乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(抗HCV)、艾滋病病毒抗体(抗HIV)和梅毒试验(TPPA)检测。结果：HBsAg阳性、抗HCV阳性和两者均阳性的百分率分别为14.6%、2.6%和0.5%，其中52例HBsAg阳性者没有输血史，在输血前检查中首次检出阳性；34例抗HCV阳性者均有输血史，在肾透析患者中，抗HCV阳性率达10%。ALT>40 U/L者367例，除并发HBsAg和(或)抗HCV阳性外，单独ALT升高者137例。抗HIV阳性者1例，未检出TPPA阳性者。结论：对受血者在输血前进行输血相关5项传染指标检测有重要的临床意义。

    [关键词] 输血相关传染病；输血；受血者

    Clinical Detection and Implications of Five Contagious Indexes of Blood Receivers Before Transfusion

    RUI Zhilian，WU Jiaming，KANG Houchun

    (Liyang People's Hospital,Liyang,Jiangsu 213300,China)

    Abstract：Objective To evaluate the significance of the transfusionassociated contagion test for receivers before blood transfusion.Methods ALT,HBsAg,AntiHCV,AntiHIV and TPPA of 1 302 cases before blood transfusion were investigated.Results In all cases ,the positive rates of HBsAg,AntiHCV and HBsAg+AntiHCV were 14.6%,2.6% and 0.5% respectively.4.0% HBsAg positive cases had no transfusion history.All of 34 AntiHCV positive cases had transfusion history.The AntiHCV positive rate was 10% in the patients with renal dialysis.There were 367 cases with ALT>40U/L, and 137 cases with ALT>40 U/L alone ,1 case with AntiHIV positive and TPPA positive case was not found.Conclusion It is significant to examine the 5 indexes of ALT,HBsAg,AntiHCV,AntiHIV and TPPA in blood receivers before transfusion. ......

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