外科医源性丙肝的预防

围手术期输血可导致医源性丙肝,在临床上有其特殊性。围手术期内发生,需与药物性肝损害、手术并发症鉴别;围手术期后发生,要与阻塞性黄疸区分。此类丙型肝炎以亚临床型多见,单项ALT增高是丙肝感染的一个重要特征,抗HCV反映感染与既往感染,HCV-RNA是丙肝存在的直接证据。手术输血后定期检查肝功能可以早期发现丙肝。

Acquirment and Prevention of Surgical latrogenic Hepatitis C

Hepatitis C may be caused by perioperation blood infusion and it has speciality in clinical manifestation. It should be differentiated with liver function abnormalities caused by various durgs used and with obstructive jaundice postperioperation. The most common hepatitis C is of subclinical type and the predominant feature of it is elevation of ALT alone. Positive anti - HCV reflects HCV infection now and before. HCV- RNA is the direct enidence of the existence of HCV. To be follow ed up closely and test liver function periodically in the incubation stage may detect early HCV infection which will lead to the prevention of chronic hepatitis C and reduce incidence of cirrhosis and malignant change.