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输血后肝炎的新出现模式。

The emerging pattern of post-transfusion hepatitis.

作者信息

Alter H J, Holland P V, Purcell R H

出版信息

Am J Med Sci. 1975 Sep-Oct;270(2):329-34. doi: 10.1097/00000441-197509000-00014.

Abstract

The exclusion of commercial and hepatitis B surface antigen (HBs Ag)-positive donors, as measured by counterelectrophoresis, has markedly reduced the frequency of post-transfusion hepatitis (PTH). A further, significant reduction in type-B PTH can be achieved by prescreening donors for HBs Ag by solid-phase radioimmunoassay (RIA); When a voluntary donor population, pretreated by RIA, is used, approximately 90 per cent of residual hepatitis is serologically unrelated to either the type-A or type-B hepatitis viruses. Similarly, cytomegalovirus and the Epstein-Barr virus are not serologically implicated in "non-A, non-B" hepatitis. Additional human hepatitis virus(es) may exist.

摘要

通过对流电泳检测排除商业献血者和乙肝表面抗原(HBs Ag)阳性献血者,已显著降低了输血后肝炎(PTH)的发生率。通过固相放射免疫测定法(RIA)对献血者进行HBs Ag预筛查,可进一步显著降低B型PTH的发生率;当使用经RIA预处理的自愿献血人群时,约90%的残余肝炎在血清学上与甲型或乙型肝炎病毒均无关联。同样,巨细胞病毒和爱泼斯坦-巴尔病毒在血清学上与“非甲非乙”型肝炎无关。可能存在其他人类肝炎病毒。

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