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无偿献血者血液ELISA、NAT法检测与ALT结果分析
引用本文:肖建宇,黄成垠,蒋昵真,史广耀. 无偿献血者血液ELISA、NAT法检测与ALT结果分析[J]. 临床输血与检验, 2010, 12(2): 122-124. DOI: 10.3969/j.issn.1671-2587.2010.02.009
作者姓名:肖建宇  黄成垠  蒋昵真  史广耀
作者单位:江苏省血液中心,南京,210042
摘    要:目的探讨无偿献血者NAT法检测和ALT筛检在血液安全中的作用。方法对无偿献血者的ELISA法、NAT法和ALT法检测结果进行分析,并对ALT异常者进行追溯性调查。结果在10 062例无偿献血者中,共检出360例ALT异常(淘汰率3.6%),其中有3例伴HBsAg和HBV DNA阳性,3例伴抗-HCV和HCV RNA阳性;检出10例HBV DNA阳性而ALT、HBsAg均正常者;未检出ALT异常伴HBV DNA或HCV RNA阳性,且ELISA法检测结果正常者。对354例单一ALT异常者的追溯性调查发现,其中35例反复献血,表现为连续或间断ALT异常。结论NAT法检测可以降低ELISA法的漏检风险,而ALT对降低输血传染病残留风险的作用仍值得探讨。

关 键 词:无偿献血者  ALT  ELISA  NAT

Analyse on ELISA,NAT and ALT Detection of Voluntary Blood Donors
XIAO Jian-yu,HUANG Cheng-yin,JIANG Ni-zhen,et al.. Analyse on ELISA,NAT and ALT Detection of Voluntary Blood Donors[J]. Journal of Clinical Transfusion and Laboratory Medicine, 2010, 12(2): 122-124. DOI: 10.3969/j.issn.1671-2587.2010.02.009
Authors:XIAO Jian-yu  HUANG Cheng-yin  JIANG Ni-zhen  et al.
Affiliation:XIAO Jian-yu,HUANG Cheng-yin,JIANG Ni-zhen,et al.Blood Center of Jiangsu Province,Nanjing 210042
Abstract:Objective To explore the effects of NAT and ALT testing on blood safety.Methods 10 062 samples were analyzed by ELISA,NAT and ALT testing,among which ALT unqualified ones were investigated retrospectively.Results Among 10 062 samples,360 samples were found ALT unqualified(elimination rate 3.6%),of which 3 samples were HBsAg and HBV DNA positive,3 samples were anti-HCV and HCV RNA positive.354 samples which were only ALT unqualified experienced a retrospective investigation,among which 35 samples were donors...
Keywords:Voluntary blood donor ALT ELISA NAT  
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