输血后肝炎病例中丙型肝炎的分析

７３例输血后肝炎经血清学检测，乙型肝炎病毒表面抗原和／或抗ＨＢｃ阳性２１例，抗丙型肝炎病毒抗体阳性６２例，显示输出后肝炎以丙型肝炎为主，在６２例输后血丙肝中，８２．２６％的患者输血或输血浆后６个月血清抗ＨＣＶ阳转；输血血组与输血浆组比较，输注量与输血后丙型肝炎的发生无关。提示血浆比全血更易传播丙型肝炎。部分随访病例说明丙型肝炎慢性化趋势较高。

Analysis of Hepatitis C in the Post-transfusion Hepatitis

A total of 73 cases of post-transfusion hepatitis were tested by ELISA. Hepatitis B virus infection was 28.77% (21).Hepatitis C virus infection was 84.93% (62). Hepatitis D virus infection was 1.37% (1). Single infection of hepatitis B virus and hepatitis C virus were 2.74% (2) and 70.97% (44), respectively. Superinfection by hepatitis B virus and hepatitis Cvirus was 24.66% (18). Co-infection of hepatitis B virus and hepatitis D virus was 1.37% (1). This data shows that posttransfusion hepatitis is mostly hepatitis C. In 62 cases of post-transfusion hepatitis C, 51 seroconversion occurred in 51 cases 6 months after transfusion. The average volume of transfusion was 1204ml in whole blood group and 390ml in plasma group.Thirty-five cases of acute hepatitis C were followed up for 6 months. 40% (14) of them had ALT elevation 6 months later.The results indicate that compared to blood plasma is more liable to transmit hepatitis C, and hepatitis C tends to become chronic easily.