CAJ | 학술논문

目的：探讨输血患者受血前血清感染性指标的阳性率及分布，为临床输血方法指导建议。方法对2012年1月－2013年12月11279例受血前患者使用化学发光法检测包括抗丙型肝炎病毒抗体（HCV ）、人体免疫缺陷病毒抗体（Anti‐HIV）、苍白密螺旋体抗体（Anti‐TP），同时使用时间分辨免疫荧光法进行乙型肝炎病毒表面抗原（HBsAg ）检测，分析阳性率及不同科室阳性率分布。结果乙型肝炎表面抗原阳性569例，阳性率5．04％；2例H IV抗体检测阳性患者均出现在产科，梅毒检测阳性主要出现在妇科。结论输血患者受血前血清感染性指标存在一定阳性比例，应加强筛选，及时发现潜在感染源，提高安全性。
목적：탐토수혈환자수혈전혈청감염성지표적양성솔급분포，위림상수혈방법지도건의。방법대2012년1월－2013년12월11279례수혈전환자사용화학발광법검측포괄항병형간염병독항체（HCV ）、인체면역결함병독항체（Anti‐HIV）、창백밀라선체항체（Anti‐TP），동시사용시간분변면역형광법진행을형간염병독표면항원（HBsAg ）검측，분석양성솔급불동과실양성솔분포。결과을형간염표면항원양성569례，양성솔5．04％；2례H IV항체검측양성환자균출현재산과，매독검측양성주요출현재부과。결론수혈환자수혈전혈청감염성지표존재일정양성비례，응가강사선，급시발현잠재감염원，제고안전성。
OBJECTIVE To investigate the positive rate and the distribution of serum indexes of blood infections before transfusion so as to put forward advice for clinical transfusion methods .METHODS Totally 11279 patients before blood transfusion from Jan .2012 to Dec .2013 were performed with chemiluminescence detection for anti‐hepatitis C virus antibody (hepatitis C virus ,HCV) ,human immunodeficiency virus antibody (anti‐HIV) ,Trep‐onema pallidum antibody (anti‐TP) ,at the same time ,the time‐resolved fluorescence immunoassay was used for hepatitis B virus surface antigen (HBsAg ) detection ,the positive rate and the positive rate distribution in different departments were analyzed .RESULTS The hepatitis B surface antigen was positive in 569 patients ,the positive rate was 5 .04% ,2 cases of HIV antibody positive patients appeared in the obstetric department ,the positive syphilis detection mainly appeared in the gynecologic department .CONCLUSION Indexes of infection in patients before transfusion are positive in certain proportion ,clinician should strengthen the screening and discover the po‐tential sources of infections ,so as to improve safety .