输血前检测受血者9项血清指标的意义

目的明确血源性疾病的病因、疾病传播的责任,减少医疗纠纷的发生。方法对本院6000例受血者进行输血前ALT、抗-HCV、抗-HIV、乙肝五项(HBsAg、HBsAb、HBeAg、HBeAb、HBcAb)和TP9项血清学指标的检测与分析。结果在所检测样本中:①HBsAg、ALT阳性为536例和496例,阳性率分别为8.93%和8.27%;②抗-HCV阳性为44例,阳性率为0.73%;③抗-HIV阳性1例,阳性率为0.02%;④TP抗体阳性48例,阳性率为0.80%;⑤HBsAb阳性率为18.33%;HBcAb阳性率为14.33%;HBeAg阳性率为8.53%;HBeAb阳性率为2.27%;HBeAb+HBsAb阳性64例(1.07%);HBsAg+HbsAb阳性20例(0.33%);HbsAb+HbcAb阳性116例(1.93%)。结论输血前的受血者血清学检测,对于控制医院内感染,减少医疗纠纷及其隐患的发生,明确医患责任是很有必要的。

Clinical significance of detecting 9 items of serological indexes of recipient before transfusion

Objective To definite the pathogenesis of hematogenous disease,make a clear duty of the disease transmission,reduce medical dissension.Methods ALT,Anti-HCV,Anti-HIV,HBsAg,HBsAb,HBeAg,HBeAb,HbcAb and TP of 6 000 cases(recipients) were detected, then the results were analysed.ResultHBsAg( ) were in 536 cases(8.93%),ALT( ) in 496(8.27%);Anti-HCV( ) in 44(0.73%);Anti-HIV( ) in 1(0.02%);TP( ) in 48(0.80%);positive rate of HbsAb was 18.33%,HbcAb was 14.33%,HbeAg was 8.53%, HBeAb was 2.27%;HBeAb HbsAb( ) was in 64(1.07%);HBsAg HbsAb in 20(0.33%);HbsAb HbcAb( ) was in 116(1.93%).Conclusion Serology detection of recipients before blood transfusion is necessary for controlling infection in hospital and reducing medical dissension.