Sugg U, Frösner G G, Schneider W, Stunkat R
Klin Wochenschr. 1976 Dec 1;54(23):1133-6. doi: 10.1007/BF01469257.
In a prospective study in posttransfusion hepatitis 54 patients with open heart surgery received 220 blood units which were negative for HBS Ag by radioimmunoassay. 15 of these units contained anti-HBS and were given to 13 antibody negative patients. In a half year follow up period neither clinical nor biochemical (SGOT, SGPT, gamma-GT) signs of hepatitis could be found in these patients and neither HBS Ag nor anti-HBS developed. At the same time a screening for HBS Ag of hospital staff in contact with these patients revealed no carrier of the antigen. Therefore, the lack of any hepatitis in our relatively small study group may be attributable to two facts: the relative safety of blood screened by highly sensitive methods for the detection of HBS Ag and the noninfectious environment of these patients in the hospital during the observation period.
在一项关于输血后肝炎的前瞻性研究中,54例接受心脏直视手术的患者输注了220单位经放射免疫测定法检测乙肝表面抗原(HBS Ag)呈阴性的血液。其中15单位血液含有抗-HBS,并输注给了13例抗体阴性的患者。在半年的随访期内,这些患者既未出现肝炎的临床症状,也未出现生化指标(谷草转氨酶、谷丙转氨酶、γ-谷氨酰转肽酶)异常,且未产生乙肝表面抗原(HBS Ag)和抗-HBS。同时,对与这些患者有接触的医院工作人员进行的乙肝表面抗原筛查未发现抗原携带者。因此,在我们这个相对较小的研究组中未出现任何肝炎病例,可能归因于两个因素:通过高灵敏度方法筛查的血液对于检测乙肝表面抗原具有相对安全性,以及在观察期内这些患者在医院处于非感染性环境。