受血者输血前后血液5项标志检测的意义  

The role of the test of five blood markers in blood acceptors pro-and posttransfusion

作　　者：黄国盛[1] 陈勇生[1] 柯琳建[1] 卢冰贤[1] 黄慧华[1] 

机构地区：[1]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《河北医学》2001年第9期779-781,共3页Hebei Medicine

摘　　要：目的 :明确受血者输血后血源性疾病的原因 ,划清疾病传播责任 ,减少医疗纠纷。方法 :对本院 12 30名住院受血患者进行输血前后血液 5项标志的检测 ,并与患者入院前的检测结果比较 ,观察各项标志的变化。结果 :输血前与入院前比 ,阳性结果增加 11例 ,入院前阳性漏检率 0 .89% ,其中ALT5例 ,ALT差异有显著性 (P <0 .0 5 ) ;输血后与输血前比 ,只增加了 3例ALT的阳性结果 ,但ALT差异无显著性 (P >0 .0 5 )。结论 :输血后血源性疾病主要是患者输血前感染所致 ,对受血者进行输血前血液Objective: To study the reason of hematogenous disease in blood acceptors. Methods:1230 blood acceptors who were hospitalized. We checked and compared their 5 blood marders of pro-transfusion,post-transfusion and pro-hospitalized. Results:The positive cases in pro-transfusion were 11 more than in pro-hospitalized. The ratio of fail test was 0.89%. ALT account for 5 in the 11. The positive rare of ALT was significantly higher in pro-transfusion than in pro-hospitalized, P<0.05,but it was no different between pro-transfusion and post-transfusion, P>0.05. Conclusions: The results indicated that most of hematogenous disease of post-transfusion were infected before transfusion. It was necessary to test the 5 blood markers in blood acceptors.

关 键 词：受血者 ALT HBsAg 抗-HCV 抗-HIV PRP 血液诊断 输血前后 

分 类 号：R446.6[医药卫生—诊断学]