输血前4种传染性指标的检测及临床意义  

The measurement and clinical significance of four contagious parameters in sera before blood transfusion

作　　者：关幼华[1] 肖志超[1] 梁玉珊 

机构地区：[1]广东省佛山市南海区人民医院检验科,528200

出　　处：《检验医学与临床》2009年第4期250-251,共2页Laboratory Medicine and Clinic

摘　　要：目的了解患者输血前4种传染性疾病的感染情况,预防和避免医院感染和医疗纠纷的发生,提醒医务人员注意生物防护与自我保护。方法对2487例患者输血前进行血液乙型肝炎两对半?丙型肝炎病毒抗体(抗-HCV)?人类免疫缺陷病毒抗体[抗-HIV(1+2)]?梅毒甲苯胺红不加热血清(TRUST)抗体4项传染性指标检测。结果4种指标的阳性率分别为乙型肝炎病毒表面抗原10.17%?抗-HCV0.48%?抗-HIV(1+2)0.00%、TRUST0.60%。结论受血者输血前传染性指标的检测对医患双方均有益,而且对临床输血管理的安全监控,疾病的早期诊断与早期治疗,减少医疗纠纷,防止医源性感染均有重要意义。Objective To investigate the infection situation of four infectious diseases in patients before blood transfusion, prevent and avoid nosocomial infection and medical dispute, and awoke the medical staff to pay attention to the biological defense and self-protection. Methods Four contagious parameters including HBV markers （HBVM） ,anti-HCV, anti-HIV （1＋2） and toluidine red unheated serum test （TRUST） were tested in 2 487 patients before blood transfusion. Results The positive rate of four contagious parameters （HBsAg, anti-HCV, anti-HIV （1＋ 2）, and TRUST） was 10.17%, 0.48%, 0.00% and 0.60%, respectively. Conclusion The testing of the contagious parameters of the receivers before blood transfusion is not only beneficial for both the hospital and the patients, but also more import ant to ensure blood transfusion safety, early diagnosis and early cure, decrease of medial dissatisfaction and prevention of nosocomial infection.

关 键 词：输血前 血液传播 传染性疾病 医院感染 医疗纠纷 

分 类 号：R446.61[医药卫生—诊断学]