输血后丙型肝炎病毒感染的调查及预防措施

为预防和减少输血后丙型肝炎病毒（ＨＣＶ）感染，降低医院感染率，调查了３０例输血后ＨＣＶ感染者，均在专人协助下经抗－ＨＣＶ（第二代ＥＬＩＳＡ法）及／或ＨＣＶＲＮＡ（ＰＣＲ法）确认，结果表明：３０例均有受血（或血制品）史，量５０～２８００ｍｌ不等，临床表现为急性肝炎２３例（其中黄疸型１０例，无黄疸型１３例），慢性肝炎６例（其中迁延型４例，活动型２例）及病毒携带者１例。认为把好供血关和用血关是预防和减少ＨＣＶ感染的关键。

Investigation and preventive strategy of post-transfusion hepatitis C virus infection

Among the hospital infections ,the posttransfusion hepatitis C virus infection is gradually important.We investigated 30 cases with this infection,confirmed by posrtive anti-HCV(ELISA test) and HCV RNA(PCR). All cases had an history of receiving blood(or its preparations) with an amount of 50 to 2800ml. Twenety-three cases were diagnosed as acute hepatitis, icterus 10 and non-icterus 13. Six were chronic hepatitis and one asymptomatic virus carrier. In order to prevent and reduce the posttransfusion HCV infection,the key points are to screen donors and to follow the safe regulations of transfusion.