患者术前及输血前血清感染性指标检测的临床价值

The clinical valuation of serum infective indexes related tests among patients before blood transfusion or preoperation

目的对输血前及术前患者进行相关感染性指标的检测,以了解患者术前及输血前传染病的感染状况,提高临床医生对传染性疾病筛查的重视度。方法检测582例患者输血前及术前乙型肝炎表面抗原或乙肝两对半、丙型肝炎病毒抗体、艾滋病病毒抗体、梅毒螺旋体抗体、谷丙转氨酶,并分析其检测结果。结果 582例患者检测阳性病例111例(19.07%),其中HBsAg阳性33例(5.67%),抗-HCV阳性12例(2.06%),抗-HIV阳性0例(0.00%),TPPA阳性10例(1.72%),ALT值>40IU/L的56例(13.73%),其中HBsAg与TPPA同时阳性者1例,HBsAg与抗-HCV同时阳性者1例。结论输血前及术前患者血清感染性指标已有一定比例的阳性率;临床医生需加强患者群感染性指标的监测。

Objective To determine indicators of infectious diseases before blood transfusion and preoperative patients,in order to understand infection status of patients,improve the clinical doctors attention for screening of infectious disease. Methods In 582 blood receivers, HBsAg, HBsAb, HBeAg, HBeAb, HbeAb, Anti - HCV, Anti - HIV, TPPA and ALT were determined before blood transfusion and preoperative pa- tients. Results In 582 patients, the positive case was 111 （19. 07% ） ,of which 33 positive cases was HBsAg（5.67 % ）, anti - HCV positive ca- ses was 12 （2. 06% ）, anti -HIV positive was 0,10 cases of TPPA. ALT values greater than 40 units was 56 cases, HBsAg ,TPPA simultaneously with positive in 1 case, HBsAg and HCV simultaneously with positive in 1 case. Conclusion Before blood transfusion and preoperative patients, serum infectious indicators have certain proportion of positive, clinical doctors need to strengthen the monitoring patients infectious indicators.