Hoppe I, Dahmen E, Ohlmeier H
Dtsch Med Wochenschr. 1980 Mar 28;105(13):435-8. doi: 10.1055/s-2008-1070682.
During a prospective study of blood transfusions at the Cardiac Surgery Unit of the University Surgical Clinic, Free University, Berlin, a patient developed hepatitis B although he had not received any blood transfusion. Soon after, two further patients developed B-hepatitis and a third had HBs-antigenaemia. A virus marker confirmed the infectious pathways. None of the three infected patients had received foreign blood or large-pool clotting preparations. These special circumstances made it possible to diagnose hospital-acquired serum hepatitis. Otherwise all three cases would probably have been considered as caused by transfusion of foreign blood or blood products. It is, therefore, recommended that in similar cases one should speak of hospital-acquired hepatitis and of transfusion hepatitis only when this can be proven.
在柏林自由大学大学外科诊所心脏外科进行的一项输血前瞻性研究中，一名患者虽未接受任何输血却患上了乙型肝炎。此后不久，又有两名患者患上了B型肝炎，第三名患者出现了乙肝表面抗原血症。一种病毒标志物证实了感染途径。三名受感染患者均未接受过异体血液或大池凝血制剂。这些特殊情况使得诊断医院获得性血清性肝炎成为可能。否则，这三例病例很可能会被认为是由异体血液或血液制品输血引起的。因此，建议在类似病例中，只有在能够证实时才应提及医院获得性肝炎和输血性肝炎。
