4825例外科患者输血和手术前传染病检测结果分析

Analysis of infectious disease test results before transfusion and operation among 4825 surgical patients

目的探讨外科患者输血和手术前传染病感染情况。方法选择本院2004年2月至2005年2月4825例外科输血和手术患者,输血和手术前进行乙肝五项、抗-HCV、艾滋病抗体(抗-HIV)和梅毒抗体检测分析。结果乙肝五项皆阴性者2475份,占51.30%;1项或多项阳性者2350份,阳性率为48.70%。结论外科患者输血和手术前,传染病有一定的感染率,尤其是乙肝感染率。因此,外科患者输血和手术前进行传染病检测很有必要,可减少或避免医院感染和医疗纠纷的发生。

Objective To research the incidence of infectious diseases before transfusion and operation. Methods Totally 4 825 cases were collected from February 2004 to February 2005. Before transfusion and operation, all the patients undertook the tests for hepatitis B （five items）, HCV, HIV and syphilis. All the results were analyzed. Results Out of the 4825 cases, the five items for hepatitis B were negative in 2 475 cases,accounting for 51.30%. One item or more were positive in 2350 cases. The positive rate was 48.70%. Conclusion Some patients with trauma have already been infected before transfusion and operation. It is necessary to test infectious diseases, which will reduce potential hospital infections, and in turn reduce complaints and dissensions for the patients.