2570例住院患者输血前血清五项指标检测结果分析

Analysis of Five Symbol Substances Examination Result in Serumof Pre-blood Transfusion in 2570 Patients

目的:探讨住院患者输血前乙肝病毒、丙肝病毒、HIV、梅毒携带情况,以增强临床医护人员自我保护意识,有效控制院内感染,减少输血医疗纠纷。方法:对2 5 70例住院患者在输血前采集的血标本分别进行血清丙氨酸氨基转移酶(ALT)、乙肝表面抗原、丙肝抗体、HIV抗体、梅毒抗体检测,并分别进行统计计算。结果:检出乙肝阳性75例(2 .92 %) ,其中71例(94 .6 7%)伴随ALT升高(5 0U/L80U/L) ;检出丙肝阳性1 8例(0 .70 %) ,有2例(1 1 .1 1 %)伴随ALT升高(5 0U/L70U/L) ;检出梅毒抗体阳性5例(0 .1 9%)、HIV抗体阳性1例(具有很大偶然性)。结论:本组输血前病例5项指标检出阳性率较国内东部地区输血前检出率偏低,但足以引起临床医护人员对医源性感染的重视,并加强自身防护。

Objective To discuss holpitalized patientswith HBV,HCV,HIV and Syphilisbefore blood transfusion in order to inerease self-protection consiousness of medicalstaff,decrease medical disputation of blood transfusion,and centrol inner hospitalinfections ffectively.Methods To collect the blood samples of 2 570 patients which wereerzamined serum ALT,HBsAg,anti-HCV,anti-HIV,and anti-syptilis respectively andcalculate statistically.Results Among them 75 cases(2.92 %)with positive HBV,inwhich 71 cases’(94.67 %)serun ALT level iswere higher(50 U/L^80 U/L),and 18 cases(0.70 %)with positive HCV,in which 2 cases'(11.11 %)serum ALT level were higher(50 U/L^70 U/L),and 5 cases(0.19 %)anti-body of syphilis were positive,and one case's anti-bodyof HIV was positive occasionally.Conclusion Positive ratio of every item in this group Was lower than that of in easern area before blood transfusion.However the results wereenough to arise the clinicalstaffs to pay moreattention to iatrageinc infection,and to increase salf-protection.