受血者输血前5项传染指标检测结果及其意义

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。

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

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.