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目的探讨手术前和输血前相关传染病的感染状况及临床价值。方法对手术前和输血前患者采集静脉血检测血清中乙肝表面抗原(HBsAg)、丙型肝炎病毒抗体(抗-HCV)、梅毒螺旋体抗体(抗-TP)和人类免疫缺陷病毒抗体(抗-HIV1+2),并将结果进行统计分析。结果 10 143例患者手术前和输血前4项感染指标检测结果总阳性率为10.36%(1051/10 143);其中以HBsAg阳性率最高,占8.64%(876/10 143);抗-HIV1+2次之,占0.53%(54/10 143);抗-TP第3,占0.45%(46/10 143);抗-HCV最少,占0.35%;2项及2项以上阳性者占0.39%(40/10 143)。结论部分患者在手术前和输血前已感染相关传染性疾病,血清感染性指标的检测对保护患者、医疗机构、供血单位和医院感染控制管理等都具有重要意义。
Objective To investigate the infection status and clinical value of pre-operative and pre-transfusion-related infectious diseases. Methods Serum levels of hepatitis B surface antigen (HBsAg), Hepatitis C virus (anti-HCV), Treponema pallidum (anti-TP) and human immunodeficiency virus (anti-HIV1 +2), and the results for statistical analysis. Results The positive rate of HBsAg in the 10 143 patients before and before transfusion was 10.36% (1051/10143). The highest positive rate of HBsAg was 8.64% (876/10 143). The anti-HIV1 + 2, accounting for 0.53% (54/10 143); anti-TP 3, accounting for 0.45% (46/10 143); anti-HCV least, accounting for 0.35%; 2 and more than 2 positive accounted for 0.39% (40/10 143). Conclusion Some patients have been infected with infectious diseases before surgery and before transfusion. The detection of serum infectious indices is of great significance to the protection of patients, medical institutions, blood supply units and hospital infection control management.