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目的了解临床诊断为艾滋病,而实验室检测HIV抗体不确定样品案例,辅助诊断临床艾滋病病例,弥补抗体检测试剂的局限性,完善现有的艾滋病诊断标准的不足。方法收集2006-2008年四川省内3家医院临床诊断为艾滋病患者而实验室检测HIV抗体呈不确定反应的样本5份,利用病毒载量HIV-1RNA检测技术(EASY-Q),检测样品中病毒载量。结果5份样品,临床诊断艾滋病患者实验室抗体检测出现有膜蛋白抗体(gP160),而确证试验结果为HIV抗体不确定,其病毒载量均在200 000 IU/ML以上。结论结果提示5名临床诊断为艾滋病的患者,其HIV抗体检测不呈阳性反应,但其病毒载量非常高。
Objective To understand the clinical diagnosis of AIDS, laboratory testing of HIV antibody samples uncertain cases, to help diagnose clinical AIDS cases, to make up for the limitations of antibody detection reagents, improve existing diagnostic criteria for AIDS deficiencies. Methods Five samples were collected from three hospitals in Sichuan Province that were clinically diagnosed as AIDS patients during 2006-2008 and HIV antibodies were detected in laboratory. The viral load HIV-1 RNA detection technique (EASY-Q) was used to detect samples Viral load. Results Five samples of clinical AIDS patients were detected by antibody against membrane protein (gP160). However, the confirmatory test results showed that the HIV antibody was indefinite and its viral load was above 200 000 IU / ML. Conclusions The results suggest that five HIV-positive patients did not have a positive HIV antibody test, but their viral load was very high.