4375例输血前4项检测结果分析

Anaysis on 4-item pretransfusion test results in 4375 blood recipients

目的:了解患者输血前传染性病原体感染状况。方法:运用酶联免疫吸附试验法和甲苯胺不加热血清试验法对4375例住院患者进行HBsAg、抗-HCV、抗-HIV、梅毒等"输血前4项"检测。结果:4375例患者检测总阳性率505例(11.54%),其中HBsAg阳性439例(10.03%)、抗-HCV58例(1.32%),抗HIV阳性2例(0.05%)、RPR6例(0.14%)。结论:进行输血前4项检测有利于患者的治疗及医院感染的预防,减少因输血而引起的医疗纠纷。

Objective：To understand the infectious states of the pretransfusion infectious agents in blood recipients. Method：The 4-item pretransfusion tests including HbsAg, anti-HCV, anti-HIV, and syphilis antibody were measured by ELISA and TRUST method in 4 375 inpatients. Result：Of all 4 375 specimen tested, 505 were detected positive with an overall positive rate of 11.54%, among which 439 （10.03%） were HbsAg-positive, 58 （1.32%） were positive for anti-HCV, 2 （0.05%） were positive for anti-HIV, and 6 （0.14%） were RPR-positive. Conclusion：Measurement of 4-item pretransfusion tests can be helpful for the patient＇s therapy and prevention of hospital infection, thus reducing the medical disputes caused by transfusion.