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Nine recipients before transfusion testing serum markers

Nine indicators routine serological testing from June 2002 I ~ December 2003 hospitalized patients before transfusion of nine indicators of serological test results for statistical analysis, are as follows. 1 Source Data and Methods hospital in May 2002 ~ December 2003 to be hospitalized a total of 2656 cases of blood transfusion, male and 1632 cases, 1024 cases of female, aged 3 to 88 years. 2 ALT test items and methods recommended by IFCC method (reagents from Eastern European Biological Engineering Co., Ltd. Wenzhou production); five hepatitis B and anti-HCV by an ELISA method (reagent produced by the Shanghai Branch of China); anti-HIV by ELIsA a method (reagents produced by Beijing Jin Hao); syphilis by TURST method (reagent produced by the Beijing Cosmos). After the reagents were seized by the Ministry of Health, Health and certified by Pipi and used within the validity period. Results 2656 cases were detected before transfusion showed serum total abnormality rate was 29% (77,172,656). Which, ALT increased (to> 40U / L ruled exception) 258 cases (9.7); HBsAg positive in 206 cases (7.8), HBsAg and HBeAg-positive 49 cases (1.8%), HBsAg and HBeAg and anti-HBc positive in 25 cases of a (O.94), HBeAg and anti-HBc and anti-A in 21 cases of a positive HBs (O.79%),[link widoczny dla zalogowanych], anti-HBc positive one in 29 cases (1.1%), anti-HBc and a 18 cases of a positive anti-HBe (O.67); anti-HCV positive for a 103 cases (3.9); anti-HIV screening test was positive in a 3 (O.11), by the Academy of Military Medical Centre confirmed that the five HIV testing laboratory recognized as positive; syphilis positive in 6 cases (O.22); HBsAg positive and anti-HCV positive in 2 cases a (O.075); HBsAg-positive and ALT increased in 35 (1.3); anti-HCV positive and ALT rise of a High 16 (0.6). Author: 100091 Beijing, People's Liberation Army 309 General Hospital Blood Transfusion Author; Li, before (1950 I),[link widoczny dla zalogowanych], male, Hubei Dawu, the Deputy Chief Physician, undergraduate, primarily engaged in clinical blood transfusion, (Te1) 010-66767729-4393. 45 * The discussion of test results showed that the serum before transfusion recipients a total of nine indicators of abnormal rate is very high. Although the clinical treatment of blood transfusion in l is not alternative, but due to blood transfusion transmitted diseases have also occurred, and thus lead to medical disputes. To clarify responsibilities, identify the cause. For dealing with medical disputes to provide a legal basis for the diagnosis and treatment of patients with help from doctors and patients both their own interests, before transfusion of patients with serological detection of nine indicators of great significance. Previously only detected in patients with serum before transfusion five indicators,[link widoczny dla zalogowanych], HBV only detect HBsAg, can not truly reflect whether patients infected. Statistical results, HBsAg-negative persons, HBeAg-positive + positive + anti-HBc anti a one HBs, anti-HBc positive one. A positive anti-HBc + anti-HBs positive for a total of 78 cases, accounting for 2.9, these patients are in the window period, this time may be contagious. ... Thus,[link widoczny dla zalogowanych], detection of hepatitis B before transfusion five indicators that can more accurately understand the situation before transfusion recipients, to detect asymptomatic incubation period of infection. Nine patients by blood transfusion before the test serum markers, suggesting that hospital staff, especially frontline staff to strengthen the clinical l self-protection, in the treatment of attention to operational procedures, reduce medical injury, to avoid nosocomial infections. Patients with positive blood being contaminated equipment and a variety of items, should be strictly sterilized to reduce or avoid transmission and dissemination of [2]. At the same time, the test results to facilitate hospital transfusion Division of patients and clinicians Zhangwo relevant laboratory data, not only beneficial to the treatment of patients, but also as a long-term observation index],[link widoczny dla zalogowanych], to better understand the relationship between blood transfusion and spread diseases, and reduce the incidence of doctor-patient disputes. 【
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